Individual
MRS. EVA M. NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2709 HEMLOCK ST., BREMERTON, WA 98310
(360) 373-2547
(360) 479-8268
Mailing address
2709 HEMLOCK ST., BREMERTON, WA 98310
(360) 373-2547
(360) 479-8268
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
38314
KY
207RC0000X
Cardiovascular Disease Physician
Primary
MD60063789
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64067218
—
KY
Enumeration date
07/18/2005
Last updated
06/22/2021
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