| NPI | 1053312801 |
|---|---|
| Former Name | DANA NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP0287) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP287) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2020-05-22 |