Individual
NICOLE NAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3314 MILLICENT AVE, TOLEDO, OH 43615-1354
(248) 255-1666
Mailing address
3314 MILLICENT AVE, TOLEDO, OH 43615-1354
(248) 255-1666
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704298292
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704298292
MI
Other
Enumeration date
10/13/2021
Last updated
02/08/2023
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