Individual
NICOLAS ORLEANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5734 COVENTRY LANE, FORT WAYNE, IN 46804
(260) 422-3500
Mailing address
5734 COVENTRY LANE, FORT WAYNE, IN 46804
(260) 422-3500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-134114
AL
163W00000X
Registered Nurse
Primary
28231782A
IN
Other
Enumeration date
11/15/2016
Last updated
12/30/2016
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