Individual
WENDY S NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
35 MILES ST., MILES MEDICAL GROUP, DAMARISCOTTA, ME 04543
(207) 563-4511
(207) 563-4103
Mailing address
35 MILES ST., MILES MED. GROUP - ANESTHESIA, DAMARISCOTTA, ME 04543
(207) 563-4511
(207) 563-4103
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
44707
ME
367500000X
Certified Registered Nurse Anesthetist
R044707
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321630099
—
ME
Enumeration date
04/06/2007
Last updated
10/02/2008
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