Individual
KATHERINE JEAN NICHOLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAS
Contact information
Practice address
3052 HARBOR BLVD STE 1, PORT CHARLOTTE, FL 33952-6758
(941) 255-0038
Mailing address
3052 HARBOR BLVD STE 1, PORT CHARLOTTE, FL 33952-6758
(941) 255-0038
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS-5556
FL
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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