Individual
NIKOLAS SCOTT-COREAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-8667
Mailing address
3811 MACTAVISH AVE, BALTIMORE, MD 21229-5158
(410) 818-0087
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R255157
MD
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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