Individual
NICOLETTE OLEAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2693
(207) 221-4225
Mailing address
32 VIRGINIA RD, BABYLON, NY 11702-3923
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
137842
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT
ME
Enumeration date
05/30/2019
Last updated
06/07/2023
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