Individual
DIANA ADAMS NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP108255
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP108255
TX
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
529645
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286116301
—
TX
01
—
858N35
BCBS
TX
Enumeration date
10/05/2011
Last updated
02/23/2023
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