Individual
MARY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1301 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-8420
(540) 741-1061
(540) 741-1096
Mailing address
1017 COLECHESTER ST, FREDERICKSBURG, VA 22408
(540) 898-8839
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0017001572
VA
363LF0000X
Family Nurse Practitioner
Primary
0024105931
VA
Other
Enumeration date
10/15/2010
Last updated
08/29/2013
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