Individual
MRS. AMY MARIE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1590 S CONGRESS AVE, WEST PALM BEACH, FL 33406-5957
(561) 966-1000
(561) 432-0618
Mailing address
1590 S CONGRESS AVE, WEST PALM BEACH, FL 33406-5957
(561) 966-1000
(561) 432-0618
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104748
FL
Other
Enumeration date
08/07/2009
Last updated
03/17/2015
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