Individual
MS. NICOLE L PRIVITERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10720 NALL AVE, OVERLAND PARK, KS 66211-1206
(913) 754-5000
(913) 754-4560
Mailing address
10720 NALL AVE, OVERLAND PARK, KS 66211-1206
(913) 754-5000
(913) 754-4560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1487030082
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
55005
KS
Other
Enumeration date
08/31/2006
Last updated
10/04/2007
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