Most Relevant Information
Provider Data
| NPI Number: | 1003055963 |
| Provider Name: | MICHELLE LEE NICHOLS LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN122652 |
Most Important Dates
| Enumeration Date: | 02/16/2009 |
| Last Updated: | 02/16/2009 |
Provider Practice Location
7002 ROUSH RD
HILLSBORO
OH
451339165
Practice Location Phone/Fax
| Phone: | 9377289483 |
| Fax: |
Provider Mailing Location
7002 ROUSH RD
HILLSBORO
OH
451339165
Provider Mailing Phone/Fax
| Phone: | 9377289483 |
| Fax: |