Individual
NATALIE ELIZABETH NICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(330) 729-4298
(330) 729-1897
Mailing address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(330) 729-4298
(330) 279-1897
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005586RX
OH
Other
Enumeration date
08/07/2018
Last updated
01/16/2019
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