Individual
STEPHEN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5307 BEULAH AVE, CHATTANOOGA, TN 37409-2145
(423) 314-0715
Mailing address
5307 BEULAH AVE, CHATTANOOGA, TN 37409-2145
(423) 314-0715
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0000220246
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
137285
TN
Other
Enumeration date
04/07/2021
Last updated
11/03/2021
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