Individual
MR. NIKOLAS DIMITRI KOLOCURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3138
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(919) 873-9533
(844) 454-0171
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001240692
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024175793
VA
Other
Enumeration date
11/08/2017
Last updated
01/26/2018
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