Individual
ELIZABETH A NICKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 293-8228
Mailing address
3533 SOUTHERN BLVD, SUITE 3400, KETTERING, OH 45429-1264
(937) 293-8228
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.317585-COA1
OH
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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