Individual provider · Type 1 NPI
Michael Nichols, PA-C
Medical Physician Assistant · Salem, VA
NPI number
1114998895
Active
Practice location
1970 Roanoke Blvd
Salem, VA 24153-6404
Fax (540) 224-1948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0110840493 (VA) |
Medical Physician Assistant: Definition to come...
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About NPI 1114998895
Michael Nichols, PA-C's National Provider Identifier is 1114998895, issued on Jan 30, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Salem, VA. The record was last updated on May 2, 2008.