Individual
MARY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 N GEORGE MASON DR, ARLINGTON, VA 22205-3610
(703) 558-5000
Mailing address
5841 OLD LOCKE CT, ROANOKE, VA 24018-3875
(540) 520-4949
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1285926
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
24183544
VA
Other
Enumeration date
12/28/2021
Last updated
02/07/2022
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