Healthcare Provider Details

I. General information

NPI: 1518964071
Provider Name (Legal Business Name): SHEILA KAY NICHOLS APRN, BC, CCRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 01/25/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3705 OLENTANGY RIVER RD SUITE 100
COLUMBUS OH
43214-3467
US

IV. Provider business mailing address

5350 FRANTZ RD
DUBLIN OH
43016-4259
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-2680
  • Fax: 614-566-2681
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN149290
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: