Individual
SHANA FISHMAN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8831
Mailing address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8831
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
28200689A
IN
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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