Provider Demographics
NPI:1255824124
Name:NICHOLS, DANIKA JO (APRN/CNP)
Entity type:Individual
Prefix:
First Name:DANIKA
Middle Name:JO
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:APRN/CNP
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Mailing Address - Street 1:ESSENTIA HEALTH DULUTH CLINIC MCL2CRED
Mailing Address - Street 2:400 EAST THIRD STREET
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-1951
Mailing Address - Country:US
Mailing Address - Phone:218-786-3146
Mailing Address - Fax:218-722-8792
Practice Address - Street 1:1542 GOLF COURSE RD STE 204
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55744-3555
Practice Address - Country:US
Practice Address - Phone:218-999-7000
Practice Address - Fax:218-999-7099
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2018-06-14
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Provider Licenses
StateLicense IDTaxonomies
MN2319854363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily