Individual
NICOLE LUCCI
Active
Individual
NICOLE LUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001249975
VA
363L00000X
Nurse Practitioner
0024174457
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024174457
VA
Other
Enumeration date
02/20/2017
Last updated
01/13/2025
Update your record
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