Individual
NICHOLE DENARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 N 17TH ST, PHILADELPHIA, PA 19132-3929
(267) 241-7818
Mailing address
2650 N 17TH ST, PHILADELPHIA, PA 19132-3929
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN716392
PA
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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