Individual
MRS. ASHLEY SUSAN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 273-4713
Mailing address
601 ELMWOOD AVE BOX SURG, ROCHESTER, NY 14642-8410
(585) 273-4713
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12723
NY
363A00000X
Physician Assistant
Primary
23 012723
NY
Other
Enumeration date
09/04/2008
Last updated
07/06/2023
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