IndividualActive
Alvin Nichols, CRNA
NPI 1548366347 · Certified Registered Nurse Anesthetist · Salt Lake City, UT
Provider details
- NPI number
- 1548366347
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 3319524406 (UT)
Practice location
1954 Fort Union Blvd
Ste 114
Salt Lake City, UT 84121-6899
Phone: (800) 594-5736
Mailing address
1954 Fort Union Blvd
Salt Lake City, UT 84121-6899
Registry dates
- Enumerated
- 2006-09-16
- Last updated
- 2022-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.