NPI 1750557187

Phedeline Nicholas

Practitioner Licensed Practical Nurse Lithonia, GA

Practice location

Address: 1746 Pleasant Hill Trl, Lithonia, GA 30058-5819
Phone: (718) 519-7672

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 216596-1 (NY)

Other Licensed Practical Nurse providers in Georgia →

Registry record

NPI: 1750557187
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 May 2008
Record last updated: 6 May 2008

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.