Individual
VERNON CHAD NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-6000
Mailing address
3886 S 1580 W, WEST VALLEY CITY, UT 84119-4842
(801) 349-9790
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95001084
CA
Other
Enumeration date
02/07/2019
Last updated
02/25/2019
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