Individual
DR. GRETCHEN LEIGH NICKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
123 W 6TH ST, EAST LIVERPOOL, OH 43920-2921
(330) 385-7170
(330) 385-6359
Mailing address
PO BOX 645409, PITTSBURGH, PA 15264-5252
(330) 386-6442
(330) 386-3660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34007999G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2404204
—
OH
01
—
280861
ANTHEM
—
Enumeration date
03/30/2006
Last updated
11/16/2021
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