Individual
KAREN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
AAA-0000004
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN0907
—
VT
Enumeration date
06/10/2006
Last updated
11/17/2011
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