Individual
CHERYL LYNN NICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1101 MEDICAL CTR. BLVD., NICU, MARRERO, LA 70072
(504) 349-2427
(504) 349-2426
Mailing address
1101 MEDICAL CTR. BLVD., NICU, MARRERO, LA 70072
(504) 349-2427
(504) 349-2426
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
01190
LA
363LN0000X
Neonatal Nurse Practitioner
Primary
AP01190
LA
363LN0005X
Critical Care Neonatal Nurse Practitioner
AP01190
LA
363LN0005X
Critical Care Neonatal Nurse Practitioner
RN041131
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08025373
—
MS
05
—
1134007
—
LA
Enumeration date
08/09/2007
Last updated
03/06/2013
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