Individual
KATE NICHELLE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-5386
(319) 235-3074
Mailing address
411 LAUREL ST, STE 3170, DES MOINES, IA 50314-3005
(515) 283-0463
(515) 283-0794
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D117593
IA
Other
Enumeration date
04/21/2015
Last updated
08/24/2020
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