Individual
KANCHANA LICZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1336 CREEKSIDE BLVD, SUITE 1, NAPLES, FL 34108
(239) 261-1158
(239) 261-4232
Mailing address
1336 CREEKSIDE BLVD, SUITE 1, NAPLES, FL 34108
(239) 261-1158
(239) 261-4232
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
124368
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9191882
FL
Other
Enumeration date
11/07/2005
Last updated
12/29/2016
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