Individual
NICOLE PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
313 S 5TH ST, ODESSA, DE 19730-2078
(302) 250-3314
Mailing address
313 S 5TH ST, ODESSA, DE 19730-2078
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
L1-0044680
DE
Other
Enumeration date
09/30/2025
Last updated
11/06/2025
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