Individual
AMY NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2102 QUICKSILVER BLVD, AUSTIN, TX 78744-5659
(760) 224-6982
Mailing address
2102 QUICKSILVER BLVD, AUSTIN, TX 78744-5659
(760) 224-6982
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
8546
CA
Other
Enumeration date
03/26/2008
Last updated
06/07/2014
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