Individual
NICOLE PILAR CHETTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 266-6759
(541) 888-8726
Mailing address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 266-6759
(541) 888-8726
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
201604099RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201604099RN
OREGON STATE BOARD OF NURSING
OR
Enumeration date
01/28/2020
Last updated
01/28/2020
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