Individual
ELIZABETH MICHELLE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49092
CO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
49092
CO
207RP1001X
Pulmonary Disease Physician
49092
CO
207RP1001X
Pulmonary Disease Physician
Primary
MD60646108
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720107501
—
WA
05
—
54703875
—
CO
Enumeration date
03/29/2007
Last updated
09/09/2016
Update your record
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