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Individual

FIA M NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
PO BOX 5095, SOMERSET, NJ 08875-5095
(732) 718-5820

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ01283300
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ01283300
NJ

Other

Enumeration date
03/14/2022
Last updated
03/28/2026
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