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General NPI Number Information
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NPI Number | 1952690745
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Entity Type | Individual
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Provider Name | NICHOLE P HORROCKS CRNA
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Gender | Female
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 600 HIGHLAND AVE
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City | MADISON
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State | WI
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Zip | 53792-3220
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Country | US
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Telephone | 608-263-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 9233 WARD PKWY SUITE 230
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City | KANSAS CITY
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State | MO
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Zip | 64114-3366
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Country | US
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Telephone | 816-389-6030
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Fax | 816-389-6034
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 2008004646
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 54278
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License Number State | WI
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