Individual
MICHAEL LYNN NICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1305 WONDER WORLD DR STE 105, YPS ANESTHESIA, SAN MARCOS, TX 78666-7502
(512) 353-8161
(512) 353-8255
Mailing address
PO BOX 20452, YPS-CRED, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
3082
SC
367500000X
Certified Registered Nurse Anesthetist
788451
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP119189
TX
367500000X
Certified Registered Nurse Anesthetist
RN187035
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216464202
—
TX
01
—
8069UE
BCBS TX
TX
Enumeration date
01/11/2006
Last updated
09/30/2015
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