Individual
EMILY MICHELLE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3460
(225) 765-1700
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
(225) 765-1700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
255333
NY
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
205778
LA
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
MD.205778
LA
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
MT197306
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02985024
—
MS
05
—
2318004
—
LA
Enumeration date
09/22/2008
Last updated
07/02/2013
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