Individual
MISS NICHOLE MARIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10317 OCEAN HIGHWAY 17 SOUTH, PAWLEYS ISLAND, SC 29585
(843) 237-4036
Mailing address
4830 INNISBROOK CT, #1, MYRTLE BEACH, SC 29579-6609
(843) 246-1326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20695
SC
Other
Enumeration date
01/11/2017
Last updated
03/09/2017
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