Provider Demographics
NPI:1710489000
Name:NICHOLS, ESTHER LASHON
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:LASHON
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ESTHER
Other - Middle Name:LASHON
Other - Last Name:NICHOLS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:411 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-2006
Mailing Address - Country:US
Mailing Address - Phone:810-232-0522
Mailing Address - Fax:810-232-0533
Practice Address - Street 1:8023 KENSINGTON BLVD APT 2
Practice Address - Street 2:
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423-2281
Practice Address - Country:US
Practice Address - Phone:989-598-2937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-02
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator