Individual
NIE'COLE DEBATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6801 LUCY CORR BLVD., CHESTERFIELD, VA 23832
(804) 768-7214
(804) 796-7046
Mailing address
6801 LUCY CORR BLVD, CHESTERFIELD, VA 23832
(180) 476-8721
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
0001231847
VA
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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