Individual
MARSHA COOK NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5914 JEFF ATES RD, MILTON, FL 32583-8233
(850) 981-4100
Mailing address
4844 KELLY MILL RD, HOLT, FL 32564-8944
(850) 537-2583
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1432772
FL
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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