Individual
MILES MATTHEW NICHOLS
Active
Individual
MILES MATTHEW NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT SPECIAL
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
APS005103
OH
Other
Enumeration date
05/21/2024
Last updated
08/05/2026
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