Individual
MS. PAMELA JO NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4404 STATE ROAD 70, WEBSTER, WI 54893-9251
(715) 349-8554
Mailing address
1204 WHITETAIL ST, SPOONER, WI 54801-5421
(715) 635-6998
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
115698-030
WI
Other
Enumeration date
10/02/2006
Last updated
06/06/2011
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