Individual
BRAD NIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1930 N HAIDEN LN, WILLCOX, AZ 85643-3396
(480) 335-1862
Mailing address
1930 N HAIDEN LN, WILLCOX, AZ 85643-3396
(480) 335-1862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN211989
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
293673
AZ
Other
Enumeration date
08/21/2020
Last updated
06/19/2023
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