Individual
TONIA MARIE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3071 E FRANKLIN RD, STE 101, MERIDIAN, ID 83642-2376
(208) 288-1400
Mailing address
1601 E 17TH ST, IDAHO FALLS, ID 83404-6313
(208) 525-2090
(208) 525-2662
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
N-21540
ID
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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