Provider Demographics
NPI:1245246602
Name:NICHOLS, JANET C (NP)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:C
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2381 YOUNGSTOWN LOCKPORT RD
Mailing Address - Street 2:
Mailing Address - City:RANSOMVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14131-9407
Mailing Address - Country:US
Mailing Address - Phone:716-791-4576
Mailing Address - Fax:180-022-3481
Practice Address - Street 1:2201 PINE AVE
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301-2329
Practice Address - Country:US
Practice Address - Phone:180-022-3481
Practice Address - Fax:716-284-1702
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330748-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily