Individual
DUSTI SIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA, DNP
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314
(912) 435-6965
Mailing address
492 MILL RUN RD, RICHMOND HILL, GA 31324-4657
(785) 427-6006
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
13-102150-041
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557362
KS
Other
Enumeration date
04/30/2015
Last updated
04/14/2020
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