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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERT DANIEL NICHOLAS III, CRNA

Active Sole Proprietor

ROBERT DANIEL NICHOLAS III, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in SUISUN CITY, California. NPI 1366012361 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · SUISUN CITY, CA

Registration Details

NPI Number
1366012361
Provider Type
Individual
Gender
Male
NPI Issued
Jun 30, 2021 (5.1298025286657 yrs)
Last Updated
Nov 7, 2024
Licenses
RN225769 (GA)
95002292 (CA)
Sole Proprietor
Yes

Practice Information

Address
1781 STONEMAN DR
SUISUN CITY, CA, 945853218
Browse CA providers · Browse ZIP 94585
Phone
6786991559
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.