Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 3902000000X | NY |
N | 207X00000X | Orthopaedic Surgeon | D0069393 | MD |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | C7-0004639 | DE |
NPI | 1548432966 |
---|---|
Provider Name | Dr. Louise Reid Boyce Nichols |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2008 |
Last Update Date | 05/01/2012 |