Whalio Doctors

NPI 1578709630

Richard D. Nichols, LPN

Practitioner Licensed Practical Nurse Shiprock, NM

Practice location

Address
US Hwy 491 North, Shiprock, NM 87420-0160
Phone
(505) 368-6401
Fax
(505) 368-6431
Mailing address
PO Box 160, Shiprock, NM 87420-0160

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 30775 (MT)

Registry record

NPI
1578709630
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Dec 2008
Record last updated
22 Dec 2008

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.