Individual
MS. BECKY JEAN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 W 49TH ST, #M434, AUSTIN, TX 78756-3101
(512) 776-3132
(512) 776-7238
Mailing address
PO BOX 149347, MC 1938, AUSTIN, TX 78714-9347
(512) 776-3132
(512) 776-7238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
241351
TX
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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