Individual
LAUREN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 355-9703
Mailing address
3602 PARAMOUNT BLVD, AMARILLO, TX 79109-4631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
745034
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
745034
TX
Other
Enumeration date
11/15/2016
Last updated
06/27/2017
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