Individual
MS. DEBORAH TERESA NICOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12120 ROSELAND DR, NEW PORT RICHEY, FL 34654-6316
(727) 226-7844
Mailing address
12120 ROSELAND DR, NEW PORT RICHEY, FL 34654-6316
(727) 226-7844
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9533054
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017504100
—
FL
01
—
81-4658807
GLAM SQUAD,LLC/DBA NURSE ON CALL
FL
Enumeration date
07/12/2012
Last updated
07/27/2023
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