Individual
MS. NICOLE MARIE SANTAVICCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001228588
VA
163WC0200X
Critical Care Medicine Registered Nurse
RN643432
PA
163WC0200X
Critical Care Medicine Registered Nurse
RN9296779
FL
367500000X
Certified Registered Nurse Anesthetist
106817
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
25113
SC
Other
Enumeration date
01/03/2015
Last updated
03/09/2023
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