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Individual
CARRIE J. NICHOLS
Active
Individual
CARRIE J. NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A83442
CA
207Q00000X
Family Medicine Physician
Primary
A83442
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A834420
—
CA
01
—
A83442
MEDICAL LICENSE
CA
Enumeration date
05/17/2006
Last updated
02/07/2025
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