STEPHEN NICHOLLS M.D. NPI 1437187598

NPI Information

Stephen Nicholls, M.D. is a vascular surgery surgery in Vancouver, WA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Stephen Nicholls, M.D. NPI is 1437187598. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 NE MOTHER JOSEPH PL
SUITE 330
VANCOUVER, WA
ZIP 98664-299
Phone: (360) 514-1854
Fax: (360) 514-6063

The NPI 1437187598 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 6/29/2006 and was last updated on 9/30/2016.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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