Individual
RACHEL L NICODEMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 AKRON GENERAL AVE, AKRON, OH 44307-2432
(330) 344-7040
(330) 344-1714
Mailing address
224 W EXCHANGE ST STE 220, AKRON, OH 44302-1726
(330) 344-7040
(330) 344-1714
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN285441-1
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148200
—
OH
Enumeration date
10/20/2015
Last updated
05/09/2016
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