Individual
KARISTA NICHILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 S COUNTY LINE DR, CHAPARRAL, NM 88081-7869
(575) 824-3156
Mailing address
P.O. DRAWER 70, ANTHONY, NM 88021
(575) 882-1018
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-90496
NM
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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