Individual
MRS. NICOLE DENISE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, RN, CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22448
CA
Other
Enumeration date
11/02/2012
Last updated
02/14/2025
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