Nanette Ann Nichols, is a
Licensed Practical Nurse based in Coloma, Michigan. Nanette Ann Nichols is licensed to practice in Michigan (license number 4703076697) and her current practice location is
5100 Little Paw Paw Lake Rd Lot 1, Coloma, Michigan. She can be reached at her office (for appointments etc.) via phone at
(415) 819-6909.
NPI number for Nanette Ann Nichols is 1558055087 and her current mailing address is 5100 Little Paw Paw Lake Rd Lot 1, Coloma, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558055087.
Provider's Profile
Full Name | Nanette Ann Nichols |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 5100 Little Paw Paw Lake Rd Lot 1, Coloma, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558055087
- Provider Enumeration Date: 06/07/2023
- Last Update Date: 06/07/2023
Medical Identifiers
Medical identifiers for Nanette Ann Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558055087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703076697 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nanette Ann Nichols is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nanette Ann Nichols, 5100 Little Paw Paw Lake Rd Lot 1, Coloma, MI 49038-9504 Ph: () - | Nanette Ann Nichols, 5100 Little Paw Paw Lake Rd Lot 1, Coloma, MI 49038-9504 Ph: (415) 819-6909 |
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