Organization
LUCY CHARLENE NICHOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY CHARLENE NICHOLS RN (TRAVEL RN)
(318) 403-1322
Entity
Organization
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
(928) 669-3131
Mailing address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
(928) 669-3232
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
763170
TX
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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