Individual
MARNIE NICKLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
860 ROSTRAVER RD, BELLE VERNON, PA 15012-1945
(724) 929-3278
Mailing address
712 MEADE ST, MONONGAHELA, PA 15063-2227
(724) 288-6999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015364
PA
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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