Individual
NICHOLAS ADAM ISAKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7151
(785) 240-7438
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7151
(785) 240-7438
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
557157
KS
367500000X
Certified Registered Nurse Anesthetist
618172
PA
Other
Enumeration date
11/08/2012
Last updated
09/08/2021
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