Individual
AMANDA E NICHOLS
Active
Individual
AMANDA E NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
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
Update your record
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