Individual
LINDSEY RACHEL NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
4198 ANGELES VISTA BLVD, VIEW PARK, CA 90008-4402
(763) 350-6269
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95018714
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95018714
NP FURNISHING LICENSE
CA
Enumeration date
03/07/2022
Last updated
03/07/2022
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