Individual
NICKOLE GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RN, CCM
Contact information
Practice address
119 CEDAR DR, EBENSBURG, PA 15931-4312
(814) 540-6137
Mailing address
119 CEDAR DR, EBENSBURG, PA 15931-4312
(814) 540-6137
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN517165L
PA
163WC0400X
Case Management Registered Nurse
4259057
PA
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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