Individual provider · Type 1 NPI
Hannah Nicholson
Adult Health Nurse Practitioner · Shallotte, NC
NPI number
1073375481
Active
Practice location
4503 Main St Ste 1
Shallotte, NC 28470-4583
Fax (910) 754-2254
Mailing address
156 Bonnie B Ln
Shallotte, NC 28470-0016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AG01240073 (NC) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | AG01240073 (NC) |
Adult Health Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1073375481
Hannah Nicholson's National Provider Identifier is 1073375481, issued on Jan 30, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Shallotte, NC. The record was last updated on Jan 30, 2024.