Healthcare Provider Details

I. General information

NPI: 1417354804
Provider Name (Legal Business Name): SABELY NICHOLS ARNP, CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2014
Last Update Date: 01/16/2023
Certification Date: 01/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 S 3RD ST
MONTROSE CO
81401-4209
US

IV. Provider business mailing address

715 S 3RD ST
MONTROSE CO
81401-4209
US

V. Phone/Fax

Practice location:
  • Phone: 970-249-6737
  • Fax: 970-252-0112
Mailing address:
  • Phone: 970-249-6737
  • Fax: 970-252-0112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberARNP9273713
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberC-APN.0003997-C-CNM
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: