Individual provider · Type 1 NPI

Shawn Marie Nichols, AGACNP-BC

Nurse Practitioner · Orange, CA

NPI number 1396416533 Active

Practice location

101 The City Dr S
Orange, CA 92868-3201

Mailing address

200 S Manchester Ave Ste 300
Orange, CA 92868-3219

Other practice locations

  • 2319 N Benton Way, Santa Ana, CA 92706-1601 · (949) 307-2104

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X95018554 (CA)
Nurse Practitioner Primary 363L00000XNP95018554 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1396416533

Shawn Marie Nichols, AGACNP-BC's National Provider Identifier is 1396416533, issued on Sep 27, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orange, CA. The record was last updated on Mar 21, 2023.