Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISA LEIGH NICHOLS, PA-C
ActiveMARISA LEIGH NICHOLS, PA-C is a Physician Assistant healthcare provider located in SOUTHFIELD, Michigan. NPI 1518744499 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1518744499
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2023 (2.9384782391615 yrs)
- Last Updated
- May 12, 2025
- License
-
5601012050 (MI)
Practice Information
- Address
-
23077 GREENFIELD RD STE 253SOUTHFIELD, MI, 480753750Browse MI providers · Browse ZIP 48075
- Phone
- 2485595950
- Fax
- 2485592103
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SOUTHFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| MICHELLE BAKER | PA | 1477557734 |
| ROGER JONATHAN ONG | PA | 1992704167 |
| KENNETH MARK WARDOWSKI | PA | 1831190305 |
| AMY G. CONNOLLY | PA-C | 1033106331 |
| MRS. KAREN JOY DANIEL | PHYSICIAN ASSISTANT | 1649242777 |
| LAINE WOODARD | PA-C | 1962455055 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.