Individual
MRS. KELLY AMANDA MERRITT NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, DNP
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235
(817) 528-5700
Mailing address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(817) 528-5700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
780523
TX
Other
Enumeration date
08/17/2016
Last updated
06/07/2018
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