Individual
EWELL NICHOLS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
50 UNION STREET, ELLSWORTH, ME 04605-1586
(207) 664-5304
(207) 664-5305
Mailing address
50 UNION STREET, ELLSWORTH, ME 04605-1586
(207) 664-5304
(207) 664-5305
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R042011
ME
Other
Enumeration date
11/09/2006
Last updated
12/18/2020
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