Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP NICHOLS, DO
DeactivatedPHILLIP NICHOLS, DO is a Family Medicine healthcare provider located in NITRO, West Virginia. NPI 1710515838 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · NITRO, WV
This NPI has been deactivated.
The record was deactivated on July 17, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1710515838
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 1, 2020 (3.292349726776 yrs)
- Last Updated
- Jan 3, 2024
- Deactivated
- Jul 17, 2023
- Licenses
-
4139 (WV)4139 (WV)
Practice Information
- Address
-
4111 1ST AVE STE 3NITRO, WV, 251431345Browse WV providers · Browse ZIP 25143
- Phone
- 3047554797
- Fax
- 3047554799
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in NITRO, WV
| Name | Credential | NPI |
|---|---|---|
| MR. GREGORY MARK MORELAND | MD | 1134199243 |
| JOSEPH ZACHARY WILEY | MD | 1073058947 |
| DR. VICTORIA MORGAN BULLMAN | MD | 1639792971 |
| LUCAS GOODWIN | DO | 1245812304 |
| DR. ANNA MARIE DIGREGORIO | — | 1346985017 |
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.