Individual
ELIZABETH A NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 N UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 948-0849
(317) 948-1404
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 948-0849
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000745
IN
Other
Enumeration date
10/05/2006
Last updated
02/26/2021
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