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Search › Missouri › 363A00000X

Susan Nicholson, P.A

NPI 1275546020 · on the registry since 2006

Practice

Address
915 N Grand Blvd
111-Jc/Gi
Saint Louis, MO 63106
Phone
(314) 652-4100
Fax
(314) 289-7035
Organisation at this address
Vamc St. Louis Mo
Va Medical Center
St. Louis Jc Vamc
St. Louis Jc Vamc
Va Heartland-East, Visn 15
Inferred from a shared address, not stated in the registry.
Clinicians at this address
678

Registry record

Primary taxonomy
363A00000X
363A00000X
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri