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Daniel Robert Nicholas

Psychiatry & Neurology, Psychiatry in Salem, VA. Individual provider (NPI-1).

NPI number1801424239
StatusActive
Last updated in NPPESSep 3, 2025

Details

NPI
1801424239
Entity type
Individual (NPI-1)
Name
Daniel Robert Nicholas
Sex
Male
Sole proprietor
No
Enumeration date
Mar 31, 2020
Certification date
Sep 3, 2025
Last updated
Sep 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, Psychiatry0102208546VAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1906 Braeburn Dr
Salem, VA 24153-7304

Phone 540-444-2359

Mailing address

1906 Braeburn Dr
Salem, VA 24153-7304

Phone 540-444-2359

Other practice locations

621 Emancipation Hwy Ste 201
Fredericksburg, VA 22401-4567

Phone 540-372-2028

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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