Individual
NICOLE ARNTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
1000 E GENESEE ST, SUITE 300, SYRACUSE, NY 13210-1892
(315) 471-1044
(315) 471-6203
Mailing address
1000 E GENESEE ST, SUITE 300, SYRACUSE, NY 13210-1892
(315) 471-1044
(315) 471-6203
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070045
BOARD CERTIFICATION
MI
Enumeration date
08/09/2007
Last updated
08/09/2007
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