Individual
NICHOLAS HALFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
(217) 258-2440
(217) 258-2186
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4653
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.020970
IL
Other
Enumeration date
02/29/2020
Last updated
05/23/2022
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