Provider Demographics
NPI:1871218859
Name:ACHALAM, NITIKA COLLINS
Entity type:Individual
Prefix:MRS
First Name:NITIKA
Middle Name:COLLINS
Last Name:ACHALAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1418 NATIONAL ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-1533
Mailing Address - Country:US
Mailing Address - Phone:804-690-8412
Mailing Address - Fax:
Practice Address - Street 1:5700 OLD RICHMOND AVE STE D17
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1828
Practice Address - Country:US
Practice Address - Phone:833-782-2229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty