Individual
MRS. RACHAEL J NIKKOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-8421
Mailing address
212 LAKEVIEW DR, SITKA, AK 99835-7308
(907) 747-7187
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
149952-030
WI
367500000X
Certified Registered Nurse Anesthetist
306
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44341000
—
WI
01
—
8EE010
INDIVIDUAL PLAN
AK
01
—
TE063
MEDICARE FACILITY PLAN
AK
Enumeration date
05/13/2006
Last updated
06/29/2009
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