MS. Tina M Nicholson, LPN
NPI #1346492402 in South Salem, Ohio
Provider Information
- NPI Number
- 1346492402
- Entity Type
- Individual
- Name
- MS. Tina M Nicholson, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 21, 2008
- Last Updated
- Oct 21, 2008
Practice Location
- Address
- 360 HANEY LN S
- City
- South Salem
- State
- Ohio
- ZIP Code
- 45681-9779
- Phone
- (937) 981-1847
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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