Provider Demographics
NPI:1851600720
Name:NICHOLS, SHARON GAIL (RN)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:GAIL
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 E ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:SKANEATELES
Mailing Address - State:NY
Mailing Address - Zip Code:13152-1337
Mailing Address - Country:US
Mailing Address - Phone:315-291-2235
Mailing Address - Fax:315-291-2259
Practice Address - Street 1:49 E ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:SKANEATELES
Practice Address - State:NY
Practice Address - Zip Code:13152-1337
Practice Address - Country:US
Practice Address - Phone:315-291-2235
Practice Address - Fax:315-291-2259
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY331009-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse