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Individual

NANNETTE NICHOLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2801 S UNIVERSITY AVE - UALR, SUITE 600 UNIVERSITY PLAZA, LITTLE ROCK, AR 72204-1000
(501) 569-8909
(501) 569-3157
Mailing address
2801 S UNIVERSITY AVE - UALR, SUITE 600 UNIVERSITY PLAZA, LITTLE ROCK, AR 72204-1000
(501) 569-8909
(501) 569-3157

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
255
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
170942720
AR
Enumeration date
05/03/2007
Last updated
12/10/2008
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