Individual
VIRGINIA NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
107 H STREET EAST, POPLAR, MT 59255-0067
(406) 768-3491
Mailing address
PO BOX 67, POPLAR, MT 59255-0067
(406) 768-3491
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
38371
MT
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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