Individual
ELIZABETH MARIE NICKLAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
509 VIKING DR STE E, VIRGINIA BEACH, VA 23452-7323
(757) 275-8050
(888) 600-5328
Mailing address
509 VIKING DR STE E, VIRGINIA BEACH, VA 23452-7323
(757) 275-8050
(888) 600-5328
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO05072
—
224P00000X
Prosthetist
CPO05072
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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