Individual
NICOLE M. LUDWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 W BERKELEY ST, UNIONTOWN, PA 15401-5514
(724) 437-6730
Mailing address
PO BOX 644392, PITTSBURGH, PA 15264-4392
(201) 804-2800
(201) 804-8883
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN555280
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151860
MEDICARE ID TYPE UNSPECIFIED
PA
Enumeration date
01/05/2009
Last updated
03/16/2012
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