Individual
MRS. LYLIA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6617 IDLEWOOD CT, FAYETTEVILLE, NC 28314-1818
(425) 902-3238
Mailing address
6617 IDLEWOOD CT, FAYETTEVILLE, NC 28314-1818
(425) 902-3238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
340014
NC
Other
Enumeration date
03/28/2014
Last updated
09/11/2025
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