Most Relevant Information
Provider Data
| NPI Number: | 1003041427 |
| Provider Name: | LAURIE A NICHOLS RN, APN-C |
| Entity Type: | Individual |
| Taxonomy Code: | 163WG0000X |
| Specialty: | Registered Nurse |
| License Number: | 26NJ00189000 |
Most Important Dates
| Enumeration Date: | 05/29/2009 |
| Last Updated: | 02/17/2020 |
Provider Practice Location
2848 S DELSEA DR STE 2C
VINELAND
NJ
083607042
Practice Location Phone/Fax
| Phone: | 8567949090 |
| Fax: |
Provider Mailing Location
2848 S DELSEA DR STE 2C
VINELAND
NJ
083607042
Provider Mailing Phone/Fax
| Phone: | 8567949090 |
| Fax: | 8567943058 |