Individual
NICOLE WAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-6255
Mailing address
PO BOX 828962, PHILADELPHIA, PA 19182-8962
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN658132
PA
Other
Enumeration date
12/28/2016
Last updated
02/02/2024
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