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Individual

MICHELLE G NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5625
(804) 675-6774
Mailing address
1201 BROAD ROCK BOULEVARD, RICHMOND, VA 23249
(804) 675-5625
(804) 675-6774

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001161449
VA
163W00000X
Registered Nurse
R035549
ME

Other

Enumeration date
03/16/2009
Last updated
03/16/2009
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