Individual
SHAWNA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5454 WISCONSIN AVE, STE 745, CHEVY CHASE, MD 20815-6901
(301) 652-5155
Mailing address
7460 GADSBY SQ, ALEXANDRIA, VA 22315-5288
(703) 981-2439
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AC001582
MD
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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