Nichols, Wendy S

Nichols, Wendy S is an individual health care provider with primary practice located at 35 Miles St. Miles Medical Group, Damariscotta ME 04543. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Nichols, Wendy S can be contacted via phone (207) 563-4511.

Contact Information

Primary practice address
35 Miles St. Miles Medical Group Damariscotta ME 04543
Phone: (207) 563-4511
Fax: (207) 563-4103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 44707 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R044707 Maine

Profile Details

NPI number 1396868394
LBN Legal business name Nichols, Wendy S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Oct 2nd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396868394 NPPES
Maine MEDICAID 321630099

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