Individual
SHIRLEY ANN NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 2ND AVE, TWO HARBORS, MN 55616-1619
(218) 834-2172
(218) 834-2172
Mailing address
307 2ND AVE, TWO HARBORS, MN 55616-1619
(218) 834-2172
(218) 834-2172
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
230534-1-AFC
MN
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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