Individual
DR. SUSAN ANNE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
850 KEMPSVILLE RD STE 100F, NORFOLK, VA 23502-3920
(757) 261-5910
(757) 275-9940
Mailing address
850 KEMPSVILLE RD STE 100F, NORFOLK, VA 23502-3920
(757) 261-5910
(757) 275-9940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101250348
VA
207RI0200X
Infectious Disease Physician
Primary
0101250348
VA
207RI0200X
Infectious Disease Physician
149301
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2008
Last updated
08/11/2020
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