Individual
NICOLE WANDA CATHERINE NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CHI CANCER CENTER 104 W 33RD STREET, KEARNEY, NE 68847
(308) 865-7985
Mailing address
PO BOX 10190, VIRGINIA BEACH, VA 23450-0190
(800) 477-5240
(757) 216-1638
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
29066
NE
2085R0001X
Radiation Oncology Physician
43227
IA
2085R0001X
Radiation Oncology Physician
57.023749
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025044300
—
NE
05
—
10026181000
—
NE
05
—
10026527500
—
NE
05
—
1083901698
—
IA
Enumeration date
07/03/2011
Last updated
11/13/2023
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