Individual
DEBORAH J NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C-NP
Contact information
Practice address
925 TRAILWOOD DR, YOUNGSTOWN, OH 44512-5008
(330) 758-7575
(330) 758-1833
Mailing address
925 TRAILWOOD DR, YOUNGSTOWN, OH 44512-5008
(330) 758-7575
(330) 758-1833
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
COA.14412-NP
OH
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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