Provider Demographics
NPI:1396564241
Name:NICHOLS, ASHLEIGH (LPN)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2822 LATTIN RD
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:NY
Mailing Address - Zip Code:14411-9725
Mailing Address - Country:US
Mailing Address - Phone:585-682-2837
Mailing Address - Fax:
Practice Address - Street 1:2822 LATTIN RD
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411-9725
Practice Address - Country:US
Practice Address - Phone:585-682-2837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY347755-01164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse