Individual
KRISTI REBECCA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
30549 SUSSEX HWY, LAUREL, DE 19956-3891
(302) 715-5214
Mailing address
30549 SUSSEX HWY, LAUREL, DE 19956-3891
(302) 715-5214
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0000832
DE
Other
Enumeration date
03/15/2015
Last updated
02/22/2017
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