DEBORAH NICHOLLS


Address: 4252 Woodbine Rd, Pace, FL 32571-8703
Phone: 8509942733

DEBORAH NICHOLLS (NPI# 1801946041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801946041
Entity Type Individual
Full Name DEBORAH NICHOLLS
Credential ARNP
Practice Address 4252 Woodbine Rd
Pace
FL 32571-8703
Practice Telephone 8509942733
Practice Fax Number 8509949987
Mailing Telephone 8509942733
Mailing Fax Number 8509949987
Enumeration Date 2007-01-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
ARNP 9230907 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4252 WOODBINE RD
City PACE
State FL
Zip Code 32571-8703

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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

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Competitor

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City PACE
Zip Code 32571

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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