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MR. NICHOLAS SCIAMANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5000
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
647111
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
111247
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0176549
OH
Enumeration date
07/14/2016
Last updated
11/10/2021
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