Individual
DR. SAMUEL AARON NICKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4813 HAINES AVE NE, ALBUQUERQUE, NM 87110-5008
(505) 508-2075
Mailing address
2400 TUCKER BLVD NE, ALBUQUERQUE, NM 87131-0001
(505) 272-2800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD 2012-0434
NM
Other
Enumeration date
04/18/2008
Last updated
07/02/2012
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