Individual
SUSAN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Contact information
Practice address
16 HOSPITAL DR, YORK, ME 03909-1011
(207) 351-3455
Mailing address
16 HOSPITAL DR, YORK, ME 03909-1011
(207) 351-3455
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
036774-23-01
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30005034
—
NH
Enumeration date
06/12/2006
Last updated
08/08/2016
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