NPI 1114149309
Crystal Nicholson, LPN
Practice location
- Address
- 706 Oakmound Rd, Clarksburg, WV 26301-9398
- Phone
- (304) 622-7511
- Mailing address
- 130 W Woodland Ave, Clarksburg, WV 26301-4038
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1114149309
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 May 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.