Individual
AMANDA E NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
30575 BAINBRIDGE RD STE 300, SOLON, OH 44139-2275
(440) 368-6868
(440) 368-6866
Mailing address
30575 BAINBRIDGE RD STE 300, SOLON, OH 44139-2275
(440) 368-6868
(440) 368-6866
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
08915
OH
363LF0000X
Family Nurse Practitioner
RN293365
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200831990
—
IN
05
—
2679463
—
OH
05
—
78017902
—
KY
Enumeration date
07/19/2006
Last updated
01/11/2021
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