Individual
MRS. VERA MAE NICKLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
626 CHESTNUT ST, LEWISVILLE, AR 71845-8502
(870) 921-3800
(870) 921-3841
Mailing address
626 CHESTNUT ST, LEWISVILLE, AR 71845-8502
(870) 921-3800
(870) 921-3841
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R42550
AR
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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