Individual
HEIDI LYNN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 241-8000
Mailing address
5601 SCHUTTA RD, SHOREVIEW, MN 55126-4948
(612) 232-4712
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2411
MN
Other
Enumeration date
12/05/2019
Last updated
01/28/2022
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