Individual
MS. NICOLE MARIE JUHASZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1700 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9615
(270) 932-3694
(270) 932-2154
Mailing address
PO BOX 180, CAMPBELLSVILLE, KY 42719-0180
(270) 932-3694
(270) 932-2154
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1107211
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1107211
KENTUCKY BOARD OF NURSING
KY
Enumeration date
01/17/2012
Last updated
08/20/2019
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