National Provider Identifier
Tina Marie Nichols, MD
Tina Marie Nichols, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Horseheads, NY and a listed phone number of (607) 734-2264.
Profile Overview
- NPI
- 1669679916
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- June 29, 2007
- Last Updated
- March 02, 2021
Practice Location
- 3344 Chambers RD Ste 200
- Horseheads, NY 14845-1403
Phone: (607) 734-2264
Mailing Address
- 1 Guthrie Sq
- Sayre, PA 18840-1625
Specialties
- Pediatrics Physician (208000000X)
Endpoints
- tnichols136838@direct-guthrie.org
Direct Messaging Address | Direct | Horseheads, NY 14845
Full Record
- NPI
- 1669679916
- Entity Type
- Individual
- Last Name
- Nichols
- First Name
- Tina
- Middle Name
- Marie
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 1 Guthrie Sq
- Mailing City
- Sayre
- Mailing State
- PA
- Mailing ZIP Code
- 18840-1625
- Mailing Country
- US
- Mailing Phone
- (570) 888-5858
- Practice Street Address
- 3344 Chambers RD Ste 200
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-1403
- Practice Country
- US
- Practice Phone
- (607) 734-2264
- Practice Fax
- (607) 734-2932
- Enumeration Date
- June 29, 2007
- Last Updated
- March 02, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 02, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)