| Laurie A Nichols, RN, APN-C | |
|
2848 S Delsea Dr Ste 2c, Vineland, NJ 08360-7042 | |
| (856) 794-9090 | |
| Not Available |
| Full Name | Laurie A Nichols |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - General Practice |
| Location | 2848 S Delsea Dr Ste 2c, Vineland, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003041427 | NPI | - | NPPES |
| PENDING | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0000X | Registered Nurse - General Practice | 26NJ00189000 (New Jersey) | Primary |
| Entity Name | Community Health Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700816816 PECOS PAC ID: 9335040419 Enrollment ID: O20040402000981 |
| Entity Name | Nurse Practitioner Professional Resources |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558516260 PECOS PAC ID: 1951450931 Enrollment ID: O20090521000466 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie A Nichols, RN, APN-C 2848 S Delsea Dr Ste 2c, Vineland, NJ 08360-7042 Ph: (856) 794-9090 | Laurie A Nichols, RN, APN-C 2848 S Delsea Dr Ste 2c, Vineland, NJ 08360-7042 Ph: (856) 794-9090 |
Brenda Elizabeth Ackley, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 524 N West Blvd, Vineland, NJ 08360 Phone: 856-405-4337 | |
Anna Vadimivna Yurchak / Kuusk, APN Registered Nurse Medicare: May Accept Medicare Assignments Practice Location: 786 Foxmoor Dr, Vineland, NJ 08361 Phone: 609-805-1132 | |
Mrs. Jacqualyn S Fanelle, CRNA Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-641-7859 Fax: 856-641-7671 | |
Antoinette Thompson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 524 N West Blvd, Vineland, NJ 08360 Phone: 856-405-4328 | |
Mrs. Michele Sainsott, RN, APN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 524 N West Blvd, Vineland, NJ 08360 Phone: 856-405-4200 Fax: 856-696-6714 | |
Amy Marie Fletcher, BSN, RN, MSN, FNP-C Registered Nurse Medicare: May Accept Medicare Assignments Practice Location: 415 W Landis Ave Ste 102, Vineland, NJ 08360 Phone: 888-985-2727 |