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NPI Code Detail

MEDICARE: NICHOLAS L SHINSKY CRNA

MEDICARE:   NICHOLAS L SHINSKY  CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistRN526824LPA

General Provider Information

NPI Number : 1538144068
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS L SHINSKY CRNA
Provider Business Mailing Address
First Line : PO BOX 229
Second Line :
City : LATROBE
State : PA
Zip : 15650-0229
Country : US
Telephone Number : 201-804-2800
Fax Number :
Provider Business Practice Location Address
First Line : 350 BONAR AVE
Second Line :
City : WAYNESBURG
State : PA
Zip : 15370-1608
Country : US
Telephone Number : 724-627-3101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 10/14/2020

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Directions to “ NICHOLAS L SHINSKY CRNA” Practice Location

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