Individual
MR. DARYL W NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4326 E ORCHID LN, GILBERT, AZ 85296-9675
(480) 202-8285
Mailing address
4326 E ORCHID LN, GILBERT, AZ 85296-9675
(480) 202-8285
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0799
AZ
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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