IndividualActive
Brooke Nichols, CNA
NPI 1790400265 · Nurse's Aide · Ruffin, SC
Provider details
- NPI number
- 1790400265
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 558222 (SC)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
2233 Bethel Rd
Ruffin, SC 29475-3967
Phone: (843) 635-0083
Approximate (ZIP-level) locationGet directions
Mailing address
2233 Bethel Rd
Ruffin, SC 29475-3967
Registry dates
- Enumerated
- 2022-10-07
- Last updated
- 2022-10-07
- Certified
- 2022-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.