Individual
NICOLE RENEE STICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 W. 7TH AVE., EUGENE, OR 97401
(541) 682-4041
Mailing address
2605 JUSTINE LN, EUGENE, OR 97404
(307) 331-0294
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
21945
WY
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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