Provider Demographics
NPI:1154347631
Name:NICHOLS, GINGER EILEEN HEPLER (MS, CGC, LGC)
Entity type:Individual
Prefix:MRS
First Name:GINGER
Middle Name:EILEEN HEPLER
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:MS, CGC, LGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 PILGRIM LN
Mailing Address - Street 2:
Mailing Address - City:SANDY HOOK
Mailing Address - State:CT
Mailing Address - Zip Code:06482-1306
Mailing Address - Country:US
Mailing Address - Phone:203-426-2867
Mailing Address - Fax:
Practice Address - Street 1:CONNECTICUT CHILDREN'S MEDICAL CENTER
Practice Address - Street 2:11 SOUTH ROAD, SUITE 120
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032
Practice Address - Country:US
Practice Address - Phone:860-837-5765
Practice Address - Fax:860-837-5269
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS