Individual
NICHOLE L SHOULDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1708
(614) 445-8131
Mailing address
522 FAIRWOOD AVE, COLUMBUS, OH 43205-2550
(614) 330-1606
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.005788
OH
Other
Enumeration date
03/19/2025
Last updated
03/31/2025
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