Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Andromeda Surran, R-DMT

Individual provider Dance Therapist · NPI 1790546737

Nicole Andromeda Surran, R-DMT is a Dance Therapist in Tucson, Arizona. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1717 N Tucson Blvd
Tucson, AZ 85716-3074
Phone: (520) 372-2672
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Dance Therapist Taxonomy 225600000X · Licence 2895

Record details

NPI number1790546737
Entity typeIndividual (Type 1)
GenderFemale
Credentials R-DMT
Sole proprietorNo
NPI enumeratedJanuary 17, 2024
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024

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