Individual
MRS. BETTY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17230 NOOPIMING DR., ONAIMA, MN 56359
(310) 532-7511
(320) 532-7524
Mailing address
17230 NOOPIMING DR., ONAIMA, MN 56359
(310) 532-7511
(320) 532-7524
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 111515-6
MN
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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