Individual
CRAIG JASON NICHOLSON-UHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4500 10TH ST, MARRERO, LA 70072-3122
(504) 349-6352
(504) 349-6356
Mailing address
4500 10TH ST, MARRERO, LA 70072-3122
(504) 349-6352
(504) 349-6356
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP05817
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1885215
—
LA
01
—
AP05817
LICENSE
LA
Enumeration date
06/25/2009
Last updated
01/17/2014
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