Individual provider · Type 1 NPI
Trina Nichols, RN
Adult Psychiatric/Mental Health Registered Nurse · Morrisonville, NY
NPI number
1073980306
Active
Practice location
2155 State Route 22B
Morrisonville, NY 12962-3417
Fax (518) 561-3490
Mailing address
610 State Route 22B
Peru, NY 12972-5416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 634115 (NY) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1073980306
Trina Nichols, RN's National Provider Identifier is 1073980306, issued on Aug 21, 2015. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Morrisonville, NY. The record was last updated on Aug 21, 2015.