Crystal Nicholson, LPN
NPI #1114149309 in Clarksburg, West Virginia
Provider Information
- NPI Number
- 1114149309
- Entity Type
- Individual
- Name
- Crystal Nicholson, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- May 3, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 706 OAKMOUND RD
- City
- Clarksburg
- State
- West Virginia
- ZIP Code
- 26301-9398
- Phone
- (304) 622-7511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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