Individual
BRIENNA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2000 W BETHANY HOME RD, PHOENIX, AZ 85015-2443
(602) 249-0212
Mailing address
26440 N 99TH AVE, PEORIA, AZ 85383-9702
(480) 254-1517
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2023020410
MO
367500000X
Certified Registered Nurse Anesthetist
280929
AZ
367500000X
Certified Registered Nurse Anesthetist
CRNA280929
AZ
Other
Enumeration date
09/12/2022
Last updated
01/28/2025
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