Individual
NICOLE M BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1700 W 2ND ST, GULF SHORES, AL 36542-3422
(251) 967-4000
(251) 967-2398
Mailing address
PO BOX 2699, ATTN SHMG/HPE, PENSACOLA, FL 32513-2699
(251) 967-4000
(251) 967-2398
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-104085
AL
Other
Enumeration date
02/22/2011
Last updated
11/13/2020
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