Individual provider · Type 1 NPI

Fred Herbert Nicholls, MD

Student in an Organized Health Care Education/Training Program · San Francisco, CA

NPI number 1700223674 Active

Practice location

500 Parnassus Ave, Mu 320
San Francisco, CA 94143-2203

Call (415) 476-6043 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XA125674 (CA)

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 1700223674

Fred Herbert Nicholls, MD's National Provider Identifier is 1700223674, issued on May 31, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on May 31, 2013.