NPI 1033765540
Carly Nichols
Practice location
- Address
- 31330 Schoolcraft Rd STE 200, Livonia, MI 48150-2042
- Phone
- (734) 525-9712
- Mailing address
- 5801 S McClintock Dr STE 110, Tempe, AZ 85283-6002
Registered specialties
Other Specialist/Technologist
Primary
Registry record
- NPI
- 1033765540
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Aug 2019
- Record last updated
- 12 Aug 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.