Individual
NICHOLAS A. COLLIER
Active
Individual
NICHOLAS A. COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209005041
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041321643
IL LICENSE #
IL
01
—
0841504038
BCBS OF ILLINOIS
IL
01
—
209-005041
IL APN LICENSE #
IL
01
—
71427
AANA#
IL
01
—
L031806
CHAMPUS/TRICARE
IL
Enumeration date
10/12/2005
Last updated
02/19/2021
Update your record
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