NPI 1396981775

Pollyann Nicholson

Practitioner Lodging Provider Hannibal, MO

Practice location

Address: 231 Woodland Trl, Hannibal, MO 63401-6558
Phone: (573) 406-5544

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X Licence 5856-10839 (MO)

Other Lodging providers in Missouri →

Registry record

NPI: 1396981775
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jan 2009
Record last updated: 6 Jan 2009

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.