Individual
DR. STACY L NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1095 HIGHWAY 15 S, HUTCHINSON, MN 55350-5000
(320) 234-5000
Mailing address
1095 HIGHWAY 15 S, HUTCHINSON, MN 55350-5000
(320) 234-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31828
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5108055000
—
MN
Enumeration date
07/19/2006
Last updated
07/08/2007
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