Individual
BROC NICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4491
(419) 479-6905
Mailing address
333 N SUMMIT ST FL 7, TOLEDO, OH 43604-1531
(419) 824-7359
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
16984-NA
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.16984
OH
Other
Enumeration date
01/26/2015
Last updated
04/05/2021
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