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Contact Information

LISA NICHOLAS, CRNP
18101 PRINCE PHILIP DR
OLNEY, MD20832-1514
 Phone: 301-774-8882
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for LISA NICHOLAS · (Female)

NPI Number 1972390755
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 04/23/2025
Last updated 08/08/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • MD License # R239037
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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