Individual
NICOLE CRESAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
454 HELEN ST, EUGENE, OR 97404-2443
(541) 844-6402
Mailing address
454 HELEN ST, EUGENE, OR 97404-2443
(541) 844-6402
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201230110LPN
OR
Other
Enumeration date
04/17/2012
Last updated
04/17/2012
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