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NPI Code Detail

MEDICARE: MRS. HILARY DAWN-ANTHONY NICHOLSON APRN-CNP

MEDICARE:  MRS. HILARY DAWN-ANTHONY NICHOLSON  APRN-CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerR0067311OK

General Provider Information

NPI Number : 1184865479
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HILARY DAWN-ANTHONY NICHOLSON APRN-CNP
Provider Business Mailing Address
First Line : 1101 W MAIN ST
Second Line : STE 112
City : COLLINSVILLE
State : OK
Zip : 74021-3112
Country : US
Telephone Number : 918-553-8613
Fax Number : 918-371-2332
Provider Business Practice Location Address
First Line : 1101 W MAIN ST
Second Line : STE 112
City : COLLINSVILLE
State : OK
Zip : 74021-3112
Country : US
Telephone Number : 918-553-8613
Fax Number : 918-371-2332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2009
Last Update Date : 06/15/2016

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Directions to “ MRS. HILARY DAWN-ANTHONY NICHOLSON APRN-CNP” Practice Location

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