Individual
CHANEL NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(205) 939-7143
Mailing address
1919 OXMOOR RD STE 111, BIRMINGHAM, AL 35209-3502
(205) 939-7143
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-199180
AL
Other
Enumeration date
02/19/2025
Last updated
02/24/2025
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