Individual
CONNIE CUMMINS NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
88MDG/SGHI 4881 SUGAR MAPLE DRIVE, WRIGHT PATTERSON AFB, OH 45433
(937) 904-8395
Mailing address
88MDG/SGHI 4881 SUGAR MAPLE DRIVE, WRIGHT PATTERSON AFB, OH 45433
(937) 904-8395
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN285554
OH
363LF0000X
Family Nurse Practitioner
Primary
NP09426
OH
Other
Enumeration date
06/11/2007
Last updated
02/17/2020
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