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LARRY W NICHOLS MD
NPI 1225009608
Family Medicine in Snowflake, AZ

Active since February 01, 2006
590 S MAIN ST, SNOWFLAKE, AZ 85937(928) 536-7519(928) 536-7305 Get Directions Write a Review

NPPES record last updated: March 6, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Larry W Nichols Md NPPES

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

LARRY W NICHOLS MD (NPI 1225009608) is an individual family medicine provider in Snowflake, Arizona, licensed in Arizona (14326) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1225009608
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLARRY W NICHOLSCredential: MD
Location Address590 S MAIN STSnowflake, AZ 85937
Mailing Address590 S Main StSnowflake, AZ 85937 · (928) 536-7519 · Fax (928) 536-7305
Phone(928) 536-7519
Fax(928) 536-7305
Sole ProprietorNo
Enumeration DateFebruary 1, 2006
Last NPPES UpdateMarch 6, 2014
✔ NPI 1225009608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 14326
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
590 S MAIN ST, Snowflake, AZ 85937
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Other Identifiers 3

Medicaid250308AZ
Medicare UPIND37379AZ
Medicare PIN08WCLDG02AZ

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALAN N DEWITT M.D.
Family Medicine
590 S MAIN ST
SNOWFLAKE, AZ 85937
Navajo County (928) 536-7519
SUMMIT HEALTHCARE MEDICAL ASSOCIATES
Clinic/Center (Rural Health)
590 S MAIN ST
SNOWFLAKE, AZ 85937
Navajo County (928) 536-7591
SNOWFLAKE MEDICAL CENTER, PC
Family Medicine
590 S MAIN ST
SNOWFLAKE, AZ 85937
Navajo County (928) 536-7519
LINCOLN DAVID HIATT MD
Family Medicine
590 S MAIN ST
SNOWFLAKE, AZ 85937
Navajo County (928) 536-7519
MR. RONALD JOE BYRD FNP
Nurse Practitioner (Family)
590 S MAIN ST
SNOWFLAKE, AZ 85937
Navajo County (928) 536-7519
DUSTIN KYLE BALDWIN
Nurse Practitioner (Family)
590 S MAIN ST
SNOWFLAKE, AZ 85937
Navajo County (928) 536-7519
DR. BRETT JOSEPH BREWER M.D.
Internal Medicine
590 S MAIN ST
SNOWFLAKE, AZ 85937
Navajo County (928) 536-7519
MRS. DEBORAH KIM GARDNER APRN, FNP
Nurse Practitioner (Family)
590 S MAIN ST
SNOWFLAKE, AZ 85937
Navajo County (928) 536-7519

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 Larry Nichols's NPI number?

The NPI number for Larry Nichols is 1225009608. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Larry Nichols located?

Larry Nichols practices at 590 S Main St, Snowflake, AZ 85937. The listed phone number is (928) 536-7519.

What is Larry Nichols's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Larry Nichols was last updated on March 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.