Individual
MRS. AMY MICHELLE ESTEP NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-PNP
Contact information
Practice address
8713 DIGGES RD, MANASSAS, VA 20110-4403
(703) 330-9222
(703) 330-4425
Mailing address
8713 DIGGES RD, MANASSAS, VA 20110-4403
(703) 330-9222
(703) 330-4425
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024179785
VA
363LP0200X
Pediatric Nurse Practitioner
RN198801
GA
Other
Enumeration date
01/10/2011
Last updated
08/12/2020
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