Individual
DR. MICKAELA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1001 CONNECTICUT AVE NW STE 1235, WASHINGTON, DC 20036-5576
(202) 529-3117
Mailing address
1001 CONNECTICUT AVE NW STE 1235, WASHINGTON, DC 20036-5576
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
A0850
MD
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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