Nichols, Brenda

Nichols, Brenda is an individual health care provider with primary practice located at 13207 Ravenna Rd , Chardon OH 44024-7032. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Nichols, Brenda can be contacted via phone (440) 285-6000.

Contact Information

Primary practice address
13207 Ravenna Rd Chardon OH 44024-7032
Phone: (440) 285-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN166962 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN166962 Ohio

Profile Details

NPI number 1780637041
LBN Legal business name Nichols, Brenda
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated May 19th, 2008 - 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 1780637041 NPPES
Ohio Other 000000516002 ANTHEM
Ohio Other 0583328 ANTHEM
Ohio Other 7516119 ANTHEM
Ohio MEDICAID 2389339 ANTHEM
Ohio Other 000000221285 ANTHEM
Ohio Other P00403006 ANTHEM
Ohio Other 415014 ANTHEM
Ohio Other 750937 ANTHEM

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