Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLAS IDEN, DNP
Active Sole ProprietorDR. NICHOLAS IDEN, DNP is a Certified Nurse Anesthetist (CRNA) healthcare provider located in MAYWOOD, Illinois. NPI 1780301028 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · MAYWOOD, IL
Registration Details
- NPI Number
- 1780301028
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2022 (3.7716026860925 yrs)
- Last Updated
- Dec 16, 2025
- Licenses
-
041409236 (IL)209026518 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2160 S 1ST AVEMAYWOOD, IL, 601533328Browse IL providers · Browse ZIP 60153
- Phone
- 8885847888
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in MAYWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| ALI DAVID TABATABAI | CRNA | 1649220625 |
| JUDITH A REINHARDT | CRNA | 1700811056 |
| KAREN ADAMS | CRNA | 1760417117 |
| AMY DEAN | CRNA | 1912932369 |
| CLAIRE E FRENCH | CRNA | 1821023276 |
| BETTY B YOUNG | CLNA | 1326061334 |
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.