National Provider Identifier
Maria Nichols, CRPA
Maria Nichols, CRPA is listed in the NPPES registry with a primary specialty of Community/Behavioral Health Agency in Rochester, NY and a listed phone number of (585) 478-9056.
Profile Overview
- NPI
- 1457730160
- Provider Type
- Individual
- Primary Specialty
- Community/Behavioral Health Agency
- Enumeration Date
- May 27, 2015
- Last Updated
- November 18, 2020
Practice Location
- 200 Frank Dimino Way Apt 203
- Rochester, NY 14624-1188
Phone: (585) 478-9056
Mailing Address
- PO Box 24037
- Rochester, NY 14624-0037
Specialties
- Community/Behavioral Health Agency (251S00000X)
Full Record
- NPI
- 1457730160
- Entity Type
- Individual
- Last Name
- Nichols
- First Name
- Maria
- Name Prefix
- MS.
- Credential
- CRPA
- Mailing Street Address
- PO Box 24037
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-0037
- Mailing Country
- US
- Mailing Phone
- (585) 478-9056
- Practice Street Address
- 200 Frank Dimino Way Apt 203
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624-1188
- Practice Country
- US
- Practice Phone
- (585) 478-9056
- Enumeration Date
- May 27, 2015
- Last Updated
- November 18, 2020
- Deactivation Date
- August 11, 2020
- Reactivation Date
- November 18, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 18, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Community/Behavioral Health Agency (251S00000X)