NPI 1275338790

Cyrena Nichols

Practitioner Supports Brokerage Agency Columbus, OH

Practice location

Address: 2409 Ravenel Dr, Columbus, OH 43209-3308
Phone: (614) 206-1185
Mailing address: 1409 Wilmore Dr, Columbus, OH 43209-3152

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

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Registry record

NPI: 1275338790
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Feb 2025
Record last updated: 18 Feb 2025

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.