Beverly Nichols

NPI #1255403242 in Kew Gardens, New York

Provider Information

NPI Number: 1255403242
Entity Type: Individual
Name: Beverly Nichols
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Nov 14, 2006
Last Updated: Dec 13, 2021

Practice Location

Address: 12510 QUEENS BLVD
City: Kew Gardens
State: New York
ZIP Code: 11415-1519
Phone: (718) 459-5592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Nurse Specialist - Home Health — Home Health	364SH0200X
Home Health Aide	374U00000X
Specialist	174400000X	Primary

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