Individual provider · Type 1 NPI

Johnathan Tyler Nicholls, CRNA

Certified Registered Nurse Anesthetist · Phoenix, AZ

NPI number 1639684699 Active

Practice location

1111 E Mcdowell Rd
Phoenix, AZ 85006-2612

Mailing address

9424 W Eaton Rd
Phoenix, AZ 85037-4274

Other practice locations

  • 8424 E Shea Blvd Ste 101, Scottsdale, AZ 85260 · (480) 256-1520

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XCRNA1494 (AZ)

Certified Registered Nurse Anesthetist: (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 resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1639684699

Johnathan Tyler Nicholls, CRNA's National Provider Identifier is 1639684699, issued on Dec 12, 2017. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 30, 2025.