Nicholson, David
Nicholson, David is an individual health care provider with primary practice located at 1055 N Curtis Rd , Boise ID 83706-1309. 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. Nicholson, David can be contacted via phone (208) 367-6416.Contact Information
Primary practice address
1055 N Curtis Rd
Boise ID 83706-1309
Phone: (208) 367-6416
Fax: (208) 367-2742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 59928 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R48739 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | CRNA00752 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | NA95000124 | California |
Profile Details
| NPI number | 1912985755 |
|---|---|
| LBN Legal business name | Nicholson, David |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Oct 6th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912985755 | NPPES |
| New Mexico | MEDICAID | 18100244 |
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