Provider Demographics
NPI:1508158528
Name:NICHOLS, ELIZABETH A (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 15609
Mailing Address - Street 2:ANES: ANESTHESIOLOGY
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-0609
Mailing Address - Country:US
Mailing Address - Phone:919-384-0700
Mailing Address - Fax:919-477-1931
Practice Address - Street 1:3643 N ROXBORO ST
Practice Address - Street 2:ANES: ANESTHESIOLOGY
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2702
Practice Address - Country:US
Practice Address - Phone:919-384-0700
Practice Address - Fax:919-477-1931
Is Sole Proprietor?:No
Enumeration Date:2011-05-10
Last Update Date:2015-06-24
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Provider Licenses
StateLicense IDTaxonomies
NC2015-01423207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology