SearchVirginiaDevelopmental - Behavioral Pediatrics Physician

Manuel Nichols, PA-C

NPI 1659040863 · on the registry since 2021 · sole proprietor

Practice

Address
1308 Sherwood Ave
Richmond, VA 23220
Phone
(804) 828-2467
Organisation at this address
Virginia Commonwealth University Health System Authority
Virginia Commonwealth University Health System Authority
Virginia Commonwealth University Health System Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address
45

Registry record

Primary taxonomy
Developmental - Behavioral Pediatrics Physician
2080P0006X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-10

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 Virginia