Individual
MISS NICOLE JOY KOTVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
124 S UNIVERSITY BLVD STE A, MOBILE, AL 36608-3078
(513) 435-0042
Mailing address
1008 HAMPTON GATE, MOBILE, AL 36609-3311
(225) 205-5215
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-169948
AL
Other
Enumeration date
10/24/2022
Last updated
10/10/2024
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