Individual
CHANTAL NICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2301 W PLEASANT GROVE RD STE 101, ROGERS, AR 72758-7034
(479) 326-8525
Mailing address
2301 W PLEASANT GROVE RD STE 101, ROGERS, AR 72758-7034
(479) 326-8525
(479) 202-0501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005639
AR
Other
Enumeration date
07/16/2019
Last updated
09/11/2019
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