Individual
MEETA NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1924K DAUPHIN ISLAND PKWY, MOBILE, AL 36605-3004
(251) 476-6330
(251) 473-1086
Mailing address
1924K DAUPHIN ISLAND PKWY, MOBILE, AL 36605-3004
(251) 476-6330
(251) 473-1086
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-072224
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1072224
STATE LICENSE
AL
01
—
51108266
BC DIP
AL
Enumeration date
04/03/2007
Last updated
10/29/2014
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