Individual
PAULA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
560 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1961
(906) 632-1800
(906) 632-2199
Mailing address
560 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1961
(906) 632-1800
(906) 632-2199
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704152516
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704152516
STATE LICENSE
MI
Enumeration date
07/07/2006
Last updated
11/02/2010
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