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Individual

DANIELE NICHTERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(866) 295-7363
Mailing address
PO BOX 26595, GREENSBORO, NC 27415-6595
(336) 832-8014

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
156702
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8052276
NC
Enumeration date
10/05/2006
Last updated
11/02/2021
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