Nichols, Holly N

Nichols, Holly N is an individual health care provider with primary practice located at 4045 E Bell Rd Ste 125 , Phoenix AZ 85032-2238. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Dermatology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Nichols, Holly N can be contacted via phone (602) 971-0268.

Contact Information

Primary practice address
4045 E Bell Rd Ste 125 Phoenix AZ 85032-2238
Phone: (602) 971-0268
Fax: (602) 971-1556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 22657 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 45627 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 45627 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP7482 Arizona

Profile Details

NPI number 1780650036
LBN Legal business name Nichols, Holly N
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Feb 4th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780650036 NPPES
Kansas MEDICAID 200266080A
Kansas MEDICAID 011884

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