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PAULA NICKOLS
NPI 1114387867
Licensed Practical Nurse in Detroit, MI

Active since February 23, 2016
17310 HUNTINGTON RD, DETROIT, MI 48219(313) 685-5304 Get Directions Write a Review

NPPES record last updated: February 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paula Nickols NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAULA NICKOLS (NPI 1114387867) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703091485) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1114387867
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePAULA NICKOLS
Location Address17310 HUNTINGTON RDDetroit, MI 48219-3547
Mailing Address17310 Huntington RdDetroit, MI 48219-3547 · (313) 685-5304
Phone(313) 685-5304
Sole ProprietorNo
Enumeration DateFebruary 23, 2016
✔ NPI 1114387867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703091485
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
17310 HUNTINGTON RD, Detroit, MI 48219
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paula Nickols's NPI number?

The NPI number for Paula Nickols is 1114387867. It was assigned to this individual provider in the NPPES registry on February 23, 2016.

Where is Paula Nickols located?

Paula Nickols practices at 17310 Huntington Rd, Detroit, MI 48219. The listed phone number is (313) 685-5304.

What is Paula Nickols's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Paula Nickols was last updated on February 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.