Individual
COURTNEY NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S # 4482, ORANGE, CA 92868-3201
(714) 456-5631
(714) 456-6660
Mailing address
101 THE CITY DR S # 4482, ORANGE, CA 92868-3201
(714) 456-5631
(714) 456-6660
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
NOT YET ISSUED
CA
Other
Enumeration date
11/04/2008
Last updated
12/01/2021
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