Individual
SAMANTHA MARIE NICOLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-5000
Mailing address
14756 EBY ST, OVERLAND PARK, KS 66221-2181
(816) 876-8120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
43-558199-122
KS
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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