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Individual

CHRISTOPHER MICHAEL NICKELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2000 NEUSE BLVD, NEW BERN, NC 28560-3449
(252) 633-8846
Mailing address
101 PORTER AVE, SCOTTDALE, PA 15683-1138

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
300495
NC
163W00000X
Registered Nurse
RN639963
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
120598
PA

Other

Enumeration date
09/29/2017
Last updated
01/29/2018
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