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Individual

NICHOLAS JAMES SHIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN/CRNA

Contact information

Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2013017078
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
910007724
MO
01
P01243331
MEDICARE RAILROAD
MO
Enumeration date
05/13/2013
Last updated
04/11/2023
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