Individual
SHAUNTA L NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 OLD LANDING RD, MILLSBORO, DE 19966-1210
(302) 947-1920
(302) 672-9114
Mailing address
315 OLD LANDING RD, MILLSBORO, DE 19966-1210
(302) 947-1920
(302) 672-9114
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0025339
DE
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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