Individual
MR. DAVID BRUCE NICOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PNP-BC, APRN
Contact information
Practice address
216 ELM ST, BENNINGTON, VT 05201-2218
(802) 442-3940
Mailing address
216 ELM ST, BENNINGTON, VT 05201-2218
(802) 442-3940
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
101.0030040
VT
Other
Enumeration date
01/02/2010
Last updated
01/02/2010
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