Individual
MARY ELIZABETH NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1221
(203) 709-6196
Mailing address
99 EAST RIVER DRIVE, 5TH FLOOR, EAST HARTFORD, CT 06108
(860) 282-0833
(860) 571-9260
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
000004
CT
Other
Enumeration date
08/05/2006
Last updated
04/16/2021
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