Individual provider · Type 1 NPI

Amanda M. Nicola, CPNP

Pediatric Nurse Practitioner · Morgantown, WV

NPI number 1508040452 Active

Practice location

1 Medical Center Drive
Morgantown, WV 26506

Fax (304) 598-6873

Mailing address

PO Box 780
Morgantown, WV 26507-0780

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X63245 (WV)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1508040452

Amanda M. Nicola, CPNP's National Provider Identifier is 1508040452, issued on Dec 27, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Morgantown, WV. The record was last updated on Feb 27, 2012.