Individual
MRS. DENISE E NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1465 COUNTY ROAD 365, CRANE HILL, AL 35053-4038
(256) 590-3613
(256) 747-2262
Mailing address
1465 COUNTY ROAD 365, CRANE HILL, AL 35053-4038
(256) 590-3613
(256) 747-2262
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-071048
AL
367500000X
Certified Registered Nurse Anesthetist
ARNP9204451
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009931961
—
AL
05
—
306034900
—
FL
01
—
59200186
BCBS
AL
01
—
59200187
BCBS
AL
01
—
G3398
BCBS
FL
01
—
P00197074
PALMETTO GBA-RR MEDICARE
—
Enumeration date
05/17/2006
Last updated
11/23/2015
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