Individual
MARKYIA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
163 VAN BUREN RD, CARIBOU, ME 04736-3567
(207) 498-2359
(207) 498-3947
Mailing address
PO BOX 40, CARIBOU, ME 04736-0040
(207) 498-2359
(207) 498-3947
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
D63010
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008
CAREFIRST
—
01
—
116464
JOHNS HOPKINS HEALTHCARE
—
01
—
1688272
AETNA HMO
—
01
—
253271
KAISER
—
05
—
407512900
—
MD
01
—
64632404
CAREFIRST
—
01
—
7834705
AETNA PPO
—
Enumeration date
11/02/2005
Last updated
11/08/2011
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