Individual
HEATHER NICOLE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, SANE-A
Contact information
Practice address
2704 NW 52ND ST APT X7, LAWTON, OK 73505-1464
(269) 532-0235
Mailing address
2704 NW 52ND ST APT X7, LAWTON, OK 73505-1464
(269) 532-0235
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
206180
OK
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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