DAVID E NICHOLS

SANTA ROSA, CA
NPI1588933592
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95004102)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  RN795142)
Enumeration Date2011-12-20
Last Update Date2016-07-26
Business Address
-- DAVID E NICHOLS
3333 CHANATE RD
SANTA ROSA, CA 95404-1707
Phone number: 707-565-7829
Mailing Address
-- DAVID E NICHOLS
3333 CHANATE RD
SANTA ROSA, CA 95404-1707
Phone number: 707-565-7829