Individual
MS. SHARON NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS/L
Contact information
Practice address
903 WHITE CEDAR BLVD, PORTSMOUTH, NH 03801-6527
(603) 433-0823
Mailing address
903 WHITE CEDAR BLVD, PORTSMOUTH, NH 03801-6527
(603) 433-0823
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
STATE OF NH
NH
01
—
10275
NATIONAL COUNCIL FOR THERAPEUTIC RECREATION CERTIFICATION
NY
Enumeration date
08/17/2007
Last updated
03/22/2012
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