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Individual

AMY FRANCES NICOLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
300 SOUTH BRUCE STREET, AVARA MARSHALL, MARSHALL, MN 56258-1934
(507) 537-9007
(507) 537-2720
Mailing address
300 SOUTH BRUCE STREET, AVARA MARSHALL, MARSHALL, MN 56258-1934
(507) 537-9007
(507) 537-2720

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R204842-6
MN
363LF0000X
Family Nurse Practitioner
Primary
1087
MN

Other

Enumeration date
07/02/2012
Last updated
03/29/2023
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