Individual
NICHOLE IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1254 MANN DR STE 100, MATTHEWS, NC 28105-5545
(704) 841-3886
(704) 841-3889
Mailing address
100 MAYFLOWER CT, CRAMERTON, NC 28032-1636
(704) 641-2336
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
157475
NC
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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