Individual
MR. JAMES NICKLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 W 8TH AVE, DEPT OF ANESTHESIA, SPOKANE, WA 99204
(509) 474-4971
Mailing address
16622 N CINCINNATI CT, SPOKANE, WA 99208-7511
(509) 389-5900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00122408
WA
363L00000X
Nurse Practitioner
AP 60288624
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP 60288624
WA
Other
Enumeration date
04/27/2012
Last updated
05/06/2026
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