Individual
MARIA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, NCSN
Contact information
Practice address
13130 STATE HIGHWAY JJ, MARBLE HILL, MO 63764-7389
(573) 282-0563
Mailing address
13130 STATE HIGHWAY JJ, MARBLE HILL, MO 63764-7389
(573) 282-0563
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2016005210
MO
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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