DIANNE NICHOLS NPI 1457370819

NPI Information

NPI: 1457370819
Provider Name: DIANNE NICHOLS
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
24035 THREE NOTCH RD
HOLLYWOOD, MD
ZIP 20636
Phone: (301) 373-7900
Get Directions

Dianne Nichols is a medical physician assistant in Hollywood, MD. Dianne Nichols NPI is 1457370819. 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:

24035 THREE NOTCH RD
HOLLYWOOD, MD
ZIP 20636-871
Phone: (301) 373-7900
Fax: (301) 373-6900

The enumeration date for this NPI number is 7/18/2006 and was last updated on 7/8/2007.

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	363AM0700X	Physician Assistant	Medical	C00D1975	MARYLAND	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S74587	MEDICARE UPIN	MARYLAND
2	H888417W	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND

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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