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Individual

NICOLE DORAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
920 1ST CAPITOL DR STE 203&204, SAINT CHARLES, MO 63301-2734
(636) 385-4559
(314) 754-9560
Mailing address
3541 TARN ST, SAINT CHARLES, MO 63301-8366
(636) 385-4559
(314) 754-9560

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041484497
IL
163W00000X
Registered Nurse
2007023539
MO
163WA2000X
Administrator Registered Nurse
Primary
2007023539
MO
163WH1000X
Hospice Registered Nurse
2007023539
MO
171400000X
Health & Wellness Coach

Other

Enumeration date
09/13/2023
Last updated
08/29/2024
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