Paul Robert Nicholls in Grand Rapids - Nurse Anesthetist, Certified Registered
Paul Robert Nicholls - NPI 1154424547
Paul Robert Nicholls is a Nurse Anesthetist, Certified Registered in Grand Rapids, Michigan. Paul Robert Nicholls practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Paul Robert Nicholls is 1154424547. The last update date is 2014-07-03.
Paul Robert Nicholls's current location address is 3333 Evergreen Dr Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163644200 and fax number 6163647347. The mailing address for Paul Robert Nicholls is 3333 Evergreen Dr Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Robert Nicholls |
|---|---|
| Address | 3333 Evergreen Dr Ne, Grand Rapids, Michigan |
| Phone Number | 6163644200 |
| Fax Number | 6163647347 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1154424547 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2014-07-03 |
Provider Mailing Address Detail
| Address | 3333 Evergreen Dr Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495259756 |
| Phone Number | 6163644200 |
| Fax Number | 6163647347 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 4704136418 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4299263 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Paul Robert Nicholls by the Centers for Medicare & Medicaid Services?
The Paul Robert Nicholls has been assigned the NPI (National Provider Identifier) 1154424547. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Paul Robert Nicholls's facilities are geographically located?
The facilities of Paul Robert Nicholls are physically situated at the following location: 3333 Evergreen Dr Ne, Grand Rapids, MI, 495259756.
What is Paul Robert Nicholls's specialized field of practice, and what is the corresponding taxonomy classification code?
The Paul Robert Nicholls's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154424547 to Paul Robert Nicholls?
The Paul Robert Nicholls received its 1154424547 assignment from the Centers for Medicare & Medicaid Services on 2006-09-07.
As of what date were the details pertaining to Paul Robert Nicholls last refreshed?
The information related to the Paul Robert Nicholls, including its address, specialty, and other relevant details, was last updated on 2014-07-03.
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