MRS. Traci Lynn Nickelson, CNP-BC

NPI #1831624956 in Chantilly, Virginia

Provider Information

NPI Number
1831624956
Entity Type
Individual
Name
MRS. Traci Lynn Nickelson, CNP-BC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
CNP-BC
Enumeration Date
Apr 26, 2017
Last Updated
Apr 26, 2017

Practice Location

Address
14121 PARKE LONG CT STE 201
ZIP Code
20151-1647
Phone
(855) 247-1940

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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