Tina Marie Nickel, LPN
NPI #1316305782 in Port Clinton, Ohio
Provider Information
- NPI Number
- 1316305782
- Entity Type
- Individual
- Name
- Tina Marie Nickel, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Feb 1, 2016
- Last Updated
- Feb 1, 2016
Practice Location
- Address
- 617 E 3RD ST
- City
- Port Clinton
- State
- Ohio
- ZIP Code
- 43452-1109
- Phone
- (567) 201-0654
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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