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Individual

NICHOLA SAMANTHA NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6410 ROCKLEDGE DR, BETHESDA, MD 20817-1809
(301) 571-0019
(240) 482-0555
Mailing address
5606 FISHERMENS CT, CLINTON, MD 20735-1571
(470) 643-9928

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R208084
MD
363LF0000X
Family Nurse Practitioner
0024181304
VA

Other

Enumeration date
05/17/2021
Last updated
07/17/2024
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