Individual
HAROLD THOMAS NICHOLSON
Active
Individual
HAROLD THOMAS NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
108988
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001673730
STATE OF MISSOURI
MO
Enumeration date
03/23/2020
Last updated
03/23/2020
Update your record
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