Individual
GRACIE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5925
Mailing address
22 S GREENE ST # N7E16, BALTIMORE, MD 21201-1544
(410) 328-5925
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R230509
MD
Other
Enumeration date
11/17/2017
Last updated
02/21/2022
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