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Individual

KERA NICHOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
6740 ALEXANDER BELL DR STE 200, COLUMBIA, MD 21046-2253
(410) 997-8444
Mailing address
973 PIRATES CT, EDGEWOOD, MD 21040-1339
(443) 356-5731

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R154848
MD
363L00000X
Nurse Practitioner
Primary
R154848
MD

Other

Enumeration date
08/27/2009
Last updated
08/08/2023
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