Individual
MISS BETTY LOU NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
33 CHURCH ST, APT. 101, HORNELL, NY 14843-1642
(607) 324-4665
Mailing address
33 CHURCH ST, HORNELL, NY 14843-1642
(607) 324-4665
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
08771
NY
Other
Enumeration date
08/18/2008
Last updated
03/01/2009
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