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NPI Code Detail

MEDICARE: MS. SHARON GAIL NICHOLS R.N.

MEDICARE: MS. SHARON GAIL NICHOLS R.N.
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
1163W00000XRegistered Nurse331009-1NY

General Provider Information

NPI Number : 1851600720
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHARON GAIL NICHOLS R.N.
Provider Business Mailing Address
First Line : 49 E ELIZABETH ST
Second Line :
City : SKANEATELES
State : NY
Zip : 13152-1337
Country : US
Telephone Number : 315-291-2235
Fax Number : 315-291-2259
Provider Business Practice Location Address
First Line : 49 E ELIZABETH ST
Second Line :
City : SKANEATELES
State : NY
Zip : 13152-1337
Country : US
Telephone Number : 315-291-2235
Fax Number : 315-291-2259
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2010
Last Update Date : 09/27/2010

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