Individual
NICHOLE ASHLEY BERRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2321 STOUT RD, MENOMONIE, WI 54751-7003
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
10322
WI
367500000X
Certified Registered Nurse Anesthetist
R2453215
MN
Other
Enumeration date
12/23/2019
Last updated
03/27/2024
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