Individual
NICHOLAS DOCS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3557 EMBASSY PKWY, FAIRLAWN, OH 44333-8358
(330) 670-1005
Mailing address
35100 LORAIN RD, NORTH RIDGEVILLE, OH 44039-4455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.435196
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.435196
OH
Other
Enumeration date
03/07/2024
Last updated
07/08/2024
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