Daniel Alan Nichols, CRNA
Nurse Anesthetist, Certified Registered in Dallas, TX. Individual provider (NPI-1).
NPI number1164021648
StatusActive
Last updated in NPPESJun 22, 2022
Details
- NPI
- 1164021648
- Entity type
- Individual (NPI-1)
- Name
- Daniel Alan Nichols
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2020
- Certification date
- Jun 22, 2022
- Last updated
- Jun 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1014282 | TX | Yes |
| 163W00000X | Registered Nurse | 1014282 | TX |
Practice location
12222 Merit Dr Ste 600Dallas, TX 75251-3294
Phone 972-715-5000 · Fax 972-715-9976
Mailing address
Po Box 840853Dallas, TX 75284-0853
Phone 972-233-1999 · Fax 972-233-3666
Other practice locations
3705 Medical Pkwy Ste 570
Austin, TX 78705-1024
Austin, TX 78705-1024
Phone 512-454-2554 · Fax 512-454-2824
6606 Lbj Fwy Ste 200
Dallas, TX 75240-6524
Dallas, TX 75240-6524
Phone 972-715-5000 · Fax 972-715-9976
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