Individual
NICHOLAS CHIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3458
(256) 845-3150
Mailing address
PO BOX 680045, FORT PAYNE, AL 35968-1601
(256) 845-5605
(866) 409-9490
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1118656
AL
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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