Individual provider · Type 1 NPI

Peter J. Nicholls, MD

Student in an Organized Health Care Education/Training Program · Durham, NC

NPI number 1235401068 Active

Practice location

2100 Erwin Rd
Durham, NC 27705-3941

Mailing address

5213 S Alston Ave
Durham, NC 27713-4430

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1235401068

Peter J. Nicholls, MD's National Provider Identifier is 1235401068, issued on Feb 9, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Durham, NC. The record was last updated on Feb 9, 2012.