Provider Demographics
NPI:1952199473
Name:NICHOLS, LINDSEY CATHERINE
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:CATHERINE
Last Name:NICHOLS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W258S7685 PRAIRIESIDE CT
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53189-6900
Mailing Address - Country:US
Mailing Address - Phone:262-501-8774
Mailing Address - Fax:
Practice Address - Street 1:W258S7685 PRAIRIESIDE CT
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53189-6900
Practice Address - Country:US
Practice Address - Phone:262-501-8774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program