Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT L NICHOLS, MD
ActiveDR. ROBERT L NICHOLS, MD is a General Practice healthcare provider located in SANTA TERESA, New Mexico. NPI 1679634562 is currently active in the NPPES registry. Verify at CMS.
General Practice · SANTA TERESA, NM
Registration Details
- NPI Number
- 1679634562
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2006 (19.667043298661 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
94-344 (NM)94-344 (NM)
Practice Information
- Address
-
1300 COUNTRY CLUB ROADSANTA TERESA, NM, 88008Browse NM providers · Browse ZIP 88008
- Phone
- 5055894000
- Fax
- 5055897225
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
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.