Individual
CAMILLE MCNICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
444 CLEARVIEW AVE, HARWINTON, CT 06791-1020
(860) 884-5402
Mailing address
444 CLEARVIEW AVE, HARWINTON, CT 06791-1020
(860) 884-5402
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
001540
CT
Other
Enumeration date
11/30/2006
Last updated
01/15/2015
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