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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. BRENDA J NICHOLS, PA-C

Active

MS. BRENDA J NICHOLS, PA-C is a Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1558426882 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GRAND RAPIDS, MI

Registration Details

NPI Number
1558426882
Provider Type
Individual
Gender
Female
NPI Issued
Dec 27, 2006 (19.652080449029 yrs)
Last Updated
May 13, 2022
Licenses
085-002520 (IL)
2100 (WI)
5601006279 (MI)

Practice Information

Address
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI, 495256406
Browse MI providers · Browse ZIP 49525
Phone
6164597101
Fax
6164646170
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in GRAND RAPIDS, MI

Name Credential NPI
MRS. JACQUELINE S JOHANSON P.A.-C 1952304982
RENEE K SALYER P.A-C 1760481386
MR. JOHN C HENDRICKS PA-C 1992705610
CHERYL ANN SCHMITT PA-C 1851391031
LARA ELIZABETH EVANS PA-C 1356343933
BENJAMIN P LOYD PA-C 1174515167
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.