Individual
NICOLE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5514 AERIEL PL, FREDERICK, MD 21703-6555
(717) 439-9992
Mailing address
5514 AERIEL PL, FREDERICK, MD 21703-6555
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R194358
MD
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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