Provider Demographics
NPI:1184865479
Name:NICHOLSON, HILARY DAWN-ANTHONY (APRN-CNP)
Entity Type:Individual
Prefix:MRS
First Name:HILARY
Middle Name:DAWN-ANTHONY
Last Name:NICHOLSON
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Gender:F
Credentials:APRN-CNP
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Mailing Address - Street 1:1101 W MAIN ST
Mailing Address - Street 2:STE 112
Mailing Address - City:COLLINSVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74021-3112
Mailing Address - Country:US
Mailing Address - Phone:918-553-8613
Mailing Address - Fax:918-371-2332
Practice Address - Street 1:1101 W MAIN ST
Practice Address - Street 2:STE 112
Practice Address - City:COLLINSVILLE
Practice Address - State:OK
Practice Address - Zip Code:74021-3112
Practice Address - Country:US
Practice Address - Phone:918-553-8613
Practice Address - Fax:918-371-2332
Is Sole Proprietor?:No
Enumeration Date:2009-03-16
Last Update Date:2016-06-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OKR0067311363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics