Individual
RACHAEL LYNN NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
715 MAPLE VALLEY DR, FARMINGTON, MO 63640-1944
(573) 756-5298
(573) 756-1959
Mailing address
3220 WORLEY RD, FARMINGTON, MO 63640-3589
(573) 756-1959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023044095
MO
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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