MEDICARE: ANNE THUTT NICHOLSON MED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	946	NC

General Provider Information

NPI Number	:	1275653008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE THUTT NICHOLSON MED

Provider Business Mailing Address
First Line	:	PO BOX 219
Second Line	:
City	:	WEBSTER
State	:	NC
Zip	:	28788-0219
Country	:	US
Telephone Number	:	828-586-9094
Fax Number	:

Provider Business Practice Location Address
First Line	:	G30 MCKEE
Second Line	:	WESTERN CAROLINA UNIVERSITY
City	:	CULLOWHEE
State	:	NC
Zip	:	28723-9646
Country	:	US
Telephone Number	:	828-227-7251
Fax Number	:	828-227-7457

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	11/27/2007

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Directions to “ ANNE THUTT NICHOLSON MED” Practice Location

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