Surran, Nicole Andromeda

Surran, Nicole Andromeda is an individual health care provider with primary practice located at 1717 N Tucson Blvd , Tucson AZ 85716-3074. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Surran, Nicole Andromeda can be contacted via phone (520) 372-2672.

Contact Information

Primary practice address
1717 N Tucson Blvd Tucson AZ 85716-3074
Phone: (520) 372-2672
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist 225600000X 2895
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1790546737
LBN Legal business name Surran, Nicole Andromeda
Credentials R-DMT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2024
Last updated Jan 17th, 2024 - about 11 months 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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