Johnson, David Nichols

Johnson, David Nichols is an individual health care provider with primary practice located at 1304 Oak St , Melbourne FL 32901-3111. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Johnson, David Nichols can be contacted via phone (321) 723-4723.

Contact Information

Primary practice address
1304 Oak St Melbourne FL 32901-3111
Phone: (321) 723-4723
Fax: (321) 727-1448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP1578152 Florida

Profile Details

NPI number 1750495883
LBN Legal business name Johnson, David Nichols
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750495883 NPPES
Florida Other G0629 BCBSFL

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