Individual provider · Type 1 NPI

Beverly Nichols

Specialist · Kew Gardens, NY

NPI number 1255403242 Active

Practice location

12510 Queens Blvd
Kew Gardens, NY 11415-1519

Call (718) 459-5592 Map

Fax (718) 459-6047

Specialties and licenses

TaxonomyCodeLicense
Home Health Clinical Nurse Specialist 364SH0200X9569L001 (NY)
Home Health Aide 374U00000X9569L001 (NY)
Specialist Primary 174400000X9569L001 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1255403242

Beverly Nichols's National Provider Identifier is 1255403242, issued on Nov 14, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Kew Gardens, NY. The record was last updated on Dec 13, 2021.