Individual
DOROTHY ELLENE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
998 2ND AVE E, ONEONTA, AL 35121-2506
(205) 395-5014
Mailing address
726 STARLITE DR, ODENVILLE, AL 35120-5491
(205) 470-9507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-145919
AL
Other
Enumeration date
10/09/2024
Last updated
03/14/2025
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