Individual
HALIE BROOKE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1408 CAMPBELL DR, IRONTON, OH 45638-2301
(740) 533-9719
Mailing address
408 5TH AVE, WORTHINGTON, KY 41183-9421
(606) 585-1577
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1140884
KY
163W00000X
Registered Nurse
RN.486282
OH
363L00000X
Nurse Practitioner
3016243
KY
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0029222
OH
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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