Individual
ANDREA HAYWARD NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
254 PLAINFIELD RD, WEST LEBANON, NH 03784-2001
(603) 298-2146
Mailing address
254 PLAINFIELD RD, WEST LEBANON, NH 03784-2001
(603) 298-2146
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
01191422
NH
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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