TALIA NICHOLS

PROHEALTH PHYSICIANS PC

Dr TALIA NICHOLS is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.

Contact

PROHEALTH PHYSICIANS PC

554 TALCOTTVILLE RD
VERNON
CT
060662310

Tel: 8608756700

TALIA NICHOLS Information

Npi 1730688250
Pac Id 2668734831
Professional Enrollment Id I20180328000790
Last Name NICHOLS
First Name TALIA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROHEALTH PHYSICIANS PC
Group Practice Pac Id 1355246950
Number Of Group Practice Members 344
Line 1 Street Address 554 TALCOTTVILLE RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City VERNON
State CT
Zip Code 060662310
Phone Number 8608756700
Hospital Affiliation Ccn 1 070012
Hospital Affiliation Lbn 1 ROCKVILLE GENERAL HOSPITAL
Hospital Affiliation Ccn 2 070027
Hospital Affiliation Lbn 2 MANCHESTER MEMORIAL HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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