Individual
MRS. MARIANNE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC WHNP
Contact information
Practice address
109 ZEID BLVD, HENDERSON, TX 75652-6070
(903) 655-4200
(903) 655-4353
Mailing address
PO BOX 3662, LONGVIEW, TX 75606-3662
Taxonomy
Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
510096
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
510096
TX
Other
Enumeration date
09/21/2006
Last updated
10/11/2021
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