Individual
MADISON BAILEY NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
580 COURT ST, KEENE, NH 03431-1729
(548) 260-3354
Mailing address
580 COURT ST, KEENE, NH 03431-1718
(603) 354-5482
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2043
NH
Other
Enumeration date
07/17/2023
Last updated
11/12/2024
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