Individual
NICHOLAS R NEWHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305-1056
(334) 793-5000
Mailing address
PO BOX 6907, DOTHAN, AL 36302-6907
(334) 793-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-110539
AL
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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