Individual
MRS. NICOLE ELIZABETH VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4701 OGLETOWN STANTON RD STE 3400, NEWARK, DE 19713-7007
(302) 366-1200
Mailing address
2418 W ERIC DR, WILMINGTON, DE 19808-4250
(302) 528-6769
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0001186
DE
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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