Individual
KRISTINE NIKOLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
900 RIDGE ST, STOUGHTON, WI 53589-1864
(608) 873-6611
(608) 873-2255
Mailing address
900 RIDGE ST, STOUGHTON, WI 53589-1864
(608) 873-6611
(608) 873-2255
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4337500
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43330500
—
WI
01
—
4337500
LICENSE
WI
Enumeration date
12/20/2006
Last updated
08/28/2009
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