Individual
DENISE M NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
627 E WISHART ST, PHILADELPHIA, PA 19134-2309
(301) 821-5587
Mailing address
627 E WISHART ST, PHILADELPHIA, PA 19134-2309
(301) 821-5587
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
04/24/2026
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