Individual
AMY NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 E BROADWAY ST, BOLIVAR, MO 65613-1623
(417) 328-6334
Mailing address
PO BOX 125, HERMITAGE, MO 65668-0125
(417) 745-0103
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2003021669
MO
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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