Devone Nikolla CRNA

NPI 1124340989 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1124340989
Gender Female
Enumeration Date 02/22/2010
Last Updated 06/18/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
130 TOWN CENTER DRIVE STE. 203
PAYOR CONTRACT SERVICES
TROY MI, 48083-1103, US
Phone (248) 585-8233
Fax
Business Location
468 CADIEUX ROAD
GROSSE POINTE MI, 48230-1507, US
Phone (313) 343-1000
Fax
Toxanomy
Taxonomy Code 367500000X
License State Michigan
License Number 4704242206
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According to our database, Devone Nikolla CRNA NPI is 1124340989, taxonomy code is 367500000X and license number is 4704242206, license state is located at Michigan. Devone Nikolla CRNA physically located at 130 Town Center Drive Ste. 203, Troy MI, 48083-1103. NPI Number Devone Nikolla CRNA has the Individual type.

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1124340989 NPI number is provided on an as is basis without warranty of any kind. 1124340989 is maintained by the National Plan & Provider Enumeration System. The contents of Devone Nikolla CRNA are for informational purposes only.