Individual
ANGELA DAWN NICOSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
1214 E NATIONAL AVE STE 100, BRAZIL, IN 47834-2700
(812) 442-2820
Mailing address
1214 E NATIONAL AVE STE 100, BRAZIL, IN 47834-2700
(812) 442-2820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28147389A
IN
Other
Enumeration date
02/24/2020
Last updated
12/03/2021
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