Provider Demographics
NPI:1740316611
Name:SPRING-NICHOLS, ELIZABETH HELEN (RN, LBSW)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:HELEN
Last Name:SPRING-NICHOLS
Suffix:
Gender:F
Credentials:RN, LBSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:555 TOWNER ST
Mailing Address - Street 2:PO BOX 915
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-5752
Mailing Address - Country:US
Mailing Address - Phone:734-544-3000
Mailing Address - Fax:734-544-6732
Practice Address - Street 1:2140 E ELLSWORTH RD
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108
Practice Address - Country:US
Practice Address - Phone:734-222-3568
Practice Address - Fax:734-971-2487
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802084067104100000X
MI4704222157163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No104100000XBehavioral Health & Social Service ProvidersSocial Worker