Individual
MR. NICHOLAS CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1920 W RUDASILL RD, TUCSON, AZ 85704-1076
(520) 877-4000
Mailing address
14531 GREENFIELD ML, SAN ANTONIO, TX 78254-4842
(210) 643-2243
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
970830
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
152972
TX
367500000X
Certified Registered Nurse Anesthetist
334335
AZ
Other
Enumeration date
01/29/2024
Last updated
02/03/2026
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