Individual
SUSAN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
207 S MAIN ST, NEWMARKET, NH 03857-1843
(603) 659-3106
(603) 659-8003
Mailing address
207 S MAIN ST, NEWMARKET, NH 03857-1843
(603) 659-3106
(603) 659-8003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0586
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3071924
—
NH
Enumeration date
12/08/2005
Last updated
09/23/2021
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