Individual
NICHOLAS BERNARD GIRDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-2120
(618) 641-5410
Mailing address
751 SAPPINGTON BRIDGE RD, SULLIVAN, MO 63080-2354
(314) 607-1473
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2001018420
MO
367500000X
Certified Registered Nurse Anesthetist
209007897
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
918368408
—
MO
Enumeration date
02/15/2007
Last updated
10/18/2016
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