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Amanda M Nicola, CPNP
Pediatric Nurse Practitioner in Morgantown, West Virginia
NPI 1508040452

Amanda M Nicola is a Pediatric Nurse Practitioner based in Morgantown, WV and is specialized in Pediatrics. Amanda M Nicola practices in Morgantown, WV and has the professional credentials of CPNP. The NPI Number for Amanda M Nicola is 1508040452 and holds a License No. 63245 (West Virginia).

The current practice location address for Amanda M Nicola is 1 Medical Center Drive, Morgantown, WV and can be reached out via phone at 304-598-4800 and via fax at 304-598-6873.

Location: 1 Medical Center Drive, Morgantown, WV, 26507-0780
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Provider Profile Details
NPI Number
1508040452
Provider Name
Amanda M Nicola
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
1 Medical Center Drive, Morgantown, WV, 26507-0780
Phone Number
304-598-4800
Fax Number
304-598-6873
Provider Enumeration Date
12/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810010886 05 WV
institution
Provider Business Practice Location Address Details
Address
1 Medical Center Drive
City
State
Zip
26506
Phone Number
304-598-4800
Fax Number
304-598-6873
person
Provider Business Mailing Address Details
Address
1 Medical Center Drive
City
State
Zip
26506
Phone Number
304-598-4800
Fax Number
304-598-6873
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
63245 (West Virginia)
Definition
Definition to come...
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