Individual
MISS CHELSEA NICOLE NIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 BLYTHE BLVD, ANESTHESIA SERVICES 5TH FLOOR SURGICAL TOWER, CHARLOTTE, NC 28203-5812
(704) 355-8983
(704) 355-7938
Mailing address
PO BOX 32861, ANESTHESIA SERVICES 5TH FLOOR SURGICAL TOWER, CHARLOTTE, NC 28232-2861
(704) 355-8983
(704) 355-7938
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
225428
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NAN154
—
SC
Enumeration date
01/15/2013
Last updated
11/06/2013
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