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Individual

SANDRA RUTH NICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, ACNP-BC

Contact information

Practice address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 390-1600
Mailing address
901 PATIENTS FIRST DR, WASHINGTON, MO 63090-4700
(636) 390-1600

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2010012202
MO

Other

Enumeration date
11/11/2010
Last updated
11/11/2010
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