Individual
NICOLE L BRUMAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-8132
(206) 520-5700
Mailing address
500 W SUPERIOR ST, UNIT 2009, CHICAGO, IL 60654-8132
(724) 544-8284
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.435683
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209013912
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124490594
—
WA
Enumeration date
10/26/2015
Last updated
03/28/2019
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