Individual
SANDY LYNN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
891 RUSHMORE ST, JENISON, MI 49428-9368
(616) 485-1999
Mailing address
891 RUSHMORE ST, JENISON, MI 49428-9368
(616) 485-1999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704202137
MI
Other
Enumeration date
03/23/2019
Last updated
03/23/2019
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