Individual
REBECCA LYNN MCNICOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10571 TELEGRAPH RD STE 110, GLEN ALLEN, VA 23059-4652
(804) 266-9616
(804) 261-4935
Mailing address
9419 CHARTER GATE DR, MECHANICSVILLE, VA 23116-5171
(804) 426-3353
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024175314
VA
Other
Enumeration date
12/25/2017
Last updated
12/25/2017
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