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Stephanie Nicholas

Technician, Personal Care Attendant in Elkins, WV. Individual provider (NPI-1).

NPI number1235730516
StatusActive
Last updated in NPPESNov 4, 2020

Details

NPI
1235730516
Entity type
Individual (NPI-1)
Name
Stephanie Nicholas
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 4, 2020
Certification date
Nov 4, 2020
Last updated
Nov 4, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

1408 Harrison Ave
Elkins, WV 26241-3325

Phone 304-636-4390

Mailing address

6787 Mount Freedom Dr
Circleville, WV 26804-8016

Phone 304-567-3097

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