Benjamin Nichols

Physician Assistant · Walla Walla, WA

Individual Active NPI

NPI number 1407204811

Practice location

1120 W Rose St
Walla Walla, WA 99362-1662
Phone
(509) 525-6650
Fax
(509) 522-2349

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NPI record

NPI
1407204811
Entity type
Individual (Type 1)
Enumeration date
May 25, 2016
Last updated
March 22, 2021
Certified
March 22, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA60694546 WA

About Benjamin Nichols

Benjamin Nichols is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1120 W Rose St, Walla Walla, WA 99362-1662. The NPI number 1407204811 was assigned on May 25, 2016 and the record was last updated on March 22, 2021.

Benjamin Nichols lists a license in the registry: #PA60694546 (WA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Benjamin Nichols?

The NPI number is 1407204811.

What is the phone number of Benjamin Nichols?

The phone number listed for the practice location is (509) 525-6650.

Where is Benjamin Nichols located?

1120 W Rose St, Walla Walla, WA 99362-1662.

What is the taxonomy code for Benjamin Nichols?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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