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1851488795

NPI Code Detail

MEDICARE: DR. MONICA CECILE NICHOLS MD

MEDICARE: DR. MONICA CECILE NICHOLS MD

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	2084P0800X	Psychiatry Physician	MD60767673	WA
2	2084P0800X	Psychiatry Physician	ME133934	FL
3	2084P0800X	Psychiatry Physician	A62070	CA
4	2084P0800X	Psychiatry Physician	DR.007005	CO

General Provider Information

NPI Number	:	1851488795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA CECILE NICHOLS MD

Provider Business Mailing Address
First Line	:	30724 BENTON RD, STE C302 # 444
Second Line	:
City	:	WINCHESTER
State	:	CA
Zip	:	92596-8470
Country	:	US
Telephone Number	:	951-824-6116
Fax Number	:	951-527-5926

Provider Business Practice Location Address
First Line	:	5353 N UNION BLVD STE 202
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-2069
Country	:	US
Telephone Number	:	970-310-2069
Fax Number	:

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	08/21/2025

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Directions to “ DR. MONICA CECILE NICHOLS MD” Practice Location

Language	Start Address	Practice Location

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