CHANTAL MARIE NICHOLS NP NPI 1437780764

NPI Information

NPI: 1437780764
Provider Name: CHANTAL MARIE NICHOLS, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
630 N MAIN ST
WILLISTON, FL
ZIP 32696
Phone: (352) 528-0587
Get Directions

Chantal Marie Nichols, NP is a family nurse practitioner in Williston, FL. Chantal Marie Nichols, NP NPI is 1437780764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

630 N MAIN ST
WILLISTON, FL
ZIP 32696-705
Phone: (352) 528-0587
Fax: (352) 528-4834

The enumeration date for this NPI number is 1/27/2020 and was last updated on 2/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		APRN11005897	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	APRN11005897	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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