Individual
PHILLIP NICODEMUS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
94 OLD MILL RD, MARTINSBURG, WV 25401-9284
(304) 264-8933
(304) 264-8846
Mailing address
94 OLD MILL RD, MARTINSBURG, WV 25401-9284
(304) 264-8933
(304) 264-8846
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33379
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068750000
—
WV
Enumeration date
03/28/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us