Individual
MARY KAY NICHOLS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP MS
Contact information
Practice address
5 CARE LN, SARATOGA SPRINGS, NY 12866-8623
(518) 587-0845
(518) 587-5068
Mailing address
5 CARE LN, SARATOGA SPRINGS, NY 12866-8623
(518) 587-0845
(518) 587-5068
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F3310431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01903240
—
NY
Enumeration date
06/09/2006
Last updated
07/08/2007
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