DR. SANDRA W NICHOLS APRN FNP PMHNP NPI 1770749202

NPI Information

NPI: 1770749202
Provider Name: DR. SANDRA W NICHOLS, APRN, FNP, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1700 PLEASURE HOUSE RD STE 102A
VIRGINIA BEACH, VA
ZIP 23455
Phone: (757) 251-0879
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DR. Sandra W Nichols, APRN, FNP, PMHNP is a psychiatric/mental health nurse practitioner in Virginia Beach, VA with 9 years of experience. DR. Sandra W Nichols, APRN, FNP, PMHNP NPI is 1770749202. 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:

1700 PLEASURE HOUSE RD STE 102A
VIRGINIA BEACH, VA
ZIP 23455-062
Phone: (757) 251-0879
Fax: (984) 220-9437

The NPI 1770749202 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2008 and was last updated on 3/31/2022.

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	363L00000X	Nurse Practitioner		A004963	ARKANSAS	No
2	363L00000X	Nurse Practitioner		AP10570	ARIZONA	No
3	363L00000X	Nurse Practitioner		21255	TENNESSEE	No
4	363LF0000X	Nurse Practitioner	Family	0024171054	VIRGINIA	No
5	363LF0000X	Nurse Practitioner	Family	ARNP9241995	FLORIDA	No
6	363LF0000X	Nurse Practitioner	Family	184239	GEORGIA	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5012159	NORTH CAROLINA	No
8	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	0024171054	VIRGINIA	No
9	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	184239	GEORGIA	No
10	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP10570	ARIZONA	Yes
11	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	9241995	FLORIDA	No

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: 4/28/2024

NPI Synchronization or Removal

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