National Provider Identifier

Mary W Nichols, NP

Mary W Nichols, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Bath, NY and a listed phone number of (607) 664-4501.

NPI 1629032412Bath, NYFamily Nurse Practitioner

Profile Overview

NPI
1629032412
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
April 17, 2006
Last Updated
July 08, 2007

Practice Location

  • 76 Veterans Ave Bldg 30 Rm 202
  • Bath, NY 14810-0810

Phone: (607) 664-4501

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1629032412
Entity Type
Individual
Last Name
Nichols
First Name
Mary
Middle Name
W
Name Prefix
MS.
Credential
NP
Mailing Street Address
76 Veterans Ave Bldg 30 Rm 202
Mailing City
Bath
Mailing State
NY
Mailing ZIP Code
14810-0810
Mailing Country
US
Mailing Phone
(607) 664-4501
Mailing Fax
(607) 664-4503
Practice Street Address
76 Veterans Ave Bldg 30 Rm 202
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-0810
Practice Country
US
Practice Phone
(607) 664-4501
Practice Fax
(607) 664-4503
Enumeration Date
April 17, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)