Individual
TRINA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2155 STATE ROUTE 22B, MORRISONVILLE, NY 12962-3417
(518) 563-8000
(518) 561-3490
Mailing address
610 STATE ROUTE 22B, PERU, NY 12972-5416
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
634115
NY
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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