Individual
REBECCA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6659 MARDEL AVE, SAINT LOUIS, MO 63109-1227
(636) 293-1493
Mailing address
6659 MARDEL AVE, SAINT LOUIS, MO 63109-1227
(636) 293-1493
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
2013021470
MO
Other
Enumeration date
05/03/2015
Last updated
05/03/2015
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