Nichols, Mary Kay

Nichols, Mary Kay is an individual health care provider with primary practice located at 5 Care Ln , Saratoga Springs NY 12866-8623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Nichols, Mary Kay can be contacted via phone (518) 587-0845.

Contact Information

Primary practice address
5 Care Ln Saratoga Springs NY 12866-8623
Phone: (518) 587-0845
Fax: (518) 587-5068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F3310431 New York

Profile Details

NPI number 1942241971
LBN Legal business name Nichols, Mary Kay
Credentials NP MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

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 1942241971 NPPES
New York MEDICAID 01903240

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