Individual provider · Type 1 NPI

Traci Lynn Nickelson, CNP-BC

Family Nurse Practitioner · Chantilly, VA

NPI number 1831624956 Active

Practice location

14121 Parke Long Ct Ste 201
Chantilly, VA 20151-1647

Mailing address

802 Spencer St
Toledo, OH 43609-3030

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN.CNP.020218 (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1831624956

Traci Lynn Nickelson, CNP-BC's National Provider Identifier is 1831624956, issued on Apr 26, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chantilly, VA. The record was last updated on Apr 26, 2017.