Ashley Elizabeth Nickell, OD
Optometrist in Anaheim, CA. Individual provider (NPI-1).
NPI number1336679596
StatusActive
Last updated in NPPESJun 19, 2017
Details
- NPI
- 1336679596
- Entity type
- Individual (NPI-1)
- Name
- Ashley Elizabeth Nickell
- Credential
- OD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2017
- Last updated
- Jun 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 33694 | CA | Yes |
Practice location
5460 E La Palma AveAnaheim, CA 92807-2023
Phone 714-449-7401 · Fax 714-449-7401
Mailing address
5460 E La Palma AveAnaheim, CA 92807-2023
Phone 714-449-7401 · Fax 714-992-7850
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