Individual
NICOLE SAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2341
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP123493
TX
367500000X
Certified Registered Nurse Anesthetist
R036140
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320053702
—
TX
01
—
8449UE
BCBS PIN
TX
01
—
8749UG
BCBS
TX
01
—
P01202842
RAILROAD MEDICARE
TX
01
—
P01304332
RR
TX
Enumeration date
03/18/2013
Last updated
02/10/2022
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