Individual
CASEY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
54 MILLVILLE ST, SALEM, NH 03079-2615
(603) 893-7059
Mailing address
54 MILLVILLE ST, SALEM, NH 03079-2615
(603) 893-7059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
059503-21
NH
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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