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Individual

NICOLE MAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
(217) 258-2440
(217) 258-2186
Mailing address
7041 PLAINVIEW AVE, SAINT LOUIS, MO 63109-1963
(314) 393-4016

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2024045224
MO
367500000X
Certified Registered Nurse Anesthetist
209027752
IL

Other

Enumeration date
06/26/2023
Last updated
07/28/2025
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