Individual
NICOLE YVONNNE LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
30 MEDICAL CENTER BLVD, SUITE 305, CHESTER, PA 19013-3955
(610) 874-6448
(610) 876-7399
Mailing address
101 E OLNEY AVE, STE 400, PHILADELPHIA, PA 19120-2470
(215) 206-5829
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN550022
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN550022
LICENSE
PA
Enumeration date
01/03/2008
Last updated
02/12/2020
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