Individual
AMY CHRISTINE NICKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1903 RED OAK ST, LEWIS CENTER, OH 43035-7787
(937) 248-9417
Mailing address
1903 RED OAK ST, LEWIS CENTER, OH 43035-7787
(937) 248-9417
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
RN.356361
OH
163WG0000X
General Practice Registered Nurse
Primary
RN.356361
OH
163WH0200X
Home Health Registered Nurse
RN.356361
OH
163WM0705X
Medical-Surgical Registered Nurse
RN.356361
OH
163WP2201X
Ambulatory Care Registered Nurse
RN.356361
OH
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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