Individual
JULIE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 GUTHRIE DR, CORNING, NY 14830-3697
(607) 937-3100
Mailing address
2 GUTHRIE DR, CORNING, NY 14830-3697
(607) 937-3100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309428
NY
Other
Enumeration date
09/27/2019
Last updated
03/05/2021
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