Individual
PAUL ANTHONY NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1910 SHAFFER ST, KALAMAZOO, MI 49048-1604
(844) 206-8738
Mailing address
747 18TH ST, OTSEGO, MI 49078-9752
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704376708
MI
Other
Enumeration date
07/05/2021
Last updated
07/05/2021
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