Individual
ASHLEY NICKOLE KHACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804
(417) 781-2727
Mailing address
100 MERCY WAY, JOPLIN, MO 64804-4524
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2016019057
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910114067
—
MO
Enumeration date
06/10/2022
Last updated
02/16/2023
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