Individual
MRS. NICOLYN YVONNE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 MCCORMICK DR, LARGO, MD 20774-5329
(301) 883-8778
(301) 883-8796
Mailing address
1701 MCCORMICK DR, LARGO, MD 20774-5329
(301) 883-8778
(301) 883-8796
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R112124
MD
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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