Individual provider · Type 1 NPI

Savannah Joy Mariano Nichols, MD

Student in an Organized Health Care Education/Training Program · Tyler, TX

NPI number 1104674225 Active

Practice location

11937 US Highway 271
Tyler, TX 75708-3154

Call (903) 877-7200 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10090416 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104674225

Savannah Joy Mariano Nichols, MD's National Provider Identifier is 1104674225, issued on May 13, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tyler, TX. The record was last updated on May 13, 2024.