person
Michael Nichols, PA-C
Medical Physician Assistant in Salem, Virginia
NPI 1114998895

Michael Nichols is a Medical Physician Assistant based in Salem, VA and is specialized in Medical. Michael Nichols practices in Salem, VA and has the professional credentials of PA-C. The NPI Number for Michael Nichols is 1114998895 and holds a License No. 0110840493 (Virginia).

The current practice location address for Michael Nichols is 1970 Roanoke Blvd, Salem, VA and can be reached out via phone at 540-982-2463 and via fax at 540-224-1948. You can also correspond with Michael Nichols through the mailing address at 1970 ROANOKE BLVD, SALEM, VA - 24153-6404 (mailing address contact number: 540-982-2463).

Location: 1970 Roanoke Blvd, Salem, VA, 24153-6404
person
Provider Profile Details
NPI Number
1114998895
Provider Name
Michael Nichols
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1970 Roanoke Blvd, Salem, VA, 24153-6404
Phone Number
540-982-2463
Fax Number
540-224-1948
Provider Enumeration Date
01/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010110904 05 VA
institution
Provider Business Practice Location Address Details
Address
1970 Roanoke Blvd
City
State
Zip
24153-6404
Phone Number
540-982-2463
Fax Number
540-224-1948
person
Provider Business Mailing Address Details
Address
1970 Roanoke Blvd
City
State
Zip
24153-6404
Phone Number
540-982-2463
Fax Number
540-224-1948
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110840493 (Virginia)
Definition
Definition to come...
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