Individual
DANIEL ROBERT NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1906 BRAEBURN DR, SALEM, VA 24153-7304
(540) 444-2359
Mailing address
1906 BRAEBURN DR, SALEM, VA 24153-7304
(540) 444-2359
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0102208546
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
09/03/2025
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