Leila Keel Nichols CNM

NPI 1104159904 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1104159904
Gender Female
Enumeration Date 09/10/2009
Last Updated 03/17/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
97 GREAT TEAYS BLVD
SUITE 6
SCOTT DEPOT WV, 25560-9815, US
Phone (304) 757-6999
Fax (304) 757-3252
Business Location
97 GREAT TEAYS BLVD
SUITE 6
SCOTT DEPOT WV, 25560-9815, US
Phone (304) 757-6999
Fax (304) 757-3252
Toxanomy
Taxonomy Code 367A00000X
License State Tennessee
License Number APN14288
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According to our database, Mrs. Leila Keel Nichols CNM NPI is 1104159904, taxonomy code is 367A00000X and license number is APN14288, license state is located at Tennessee. Leila Keel Nichols CNM physically located at 97 Great Teays Blvd, Scott Depot WV, 25560-9815. NPI Number Leila Keel Nichols CNM has the Individual type.

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1104159904 NPI number is provided on an as is basis without warranty of any kind. 1104159904 is maintained by the National Plan & Provider Enumeration System. The contents of Leila Keel Nichols CNM are for informational purposes only.