Individual
MS. DAWN NICOLE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 879-6100
Mailing address
26937 N 89TH DR, PEORIA, AZ 85383-3725
(520) 400-6716
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN128431
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
218008
AZ
Other
Enumeration date
08/12/2018
Last updated
10/02/2018
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