Individual
NICHOLAS RABURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 233-7750
Mailing address
325 BUCK RD, COLLINSVILLE, IL 62234-2217
(618) 406-7344
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209019541
IL
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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