Individual
NICOLE AMBER DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4331 E BASELINE RD, SUITE B105-625, GILBERT, AZ 85234-2961
(480) 981-0216
(480) 981-1151
Mailing address
1850 N CENTRAL AVE STE 1600, PHOENIX, AZ 85004-4633
(602) 262-8900
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0610
AZ
Other
Enumeration date
12/22/2008
Last updated
10/08/2015
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