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NPI Code Detail

MEDICARE: NICOLLE ONEILL CRNA

MEDICARE: NICOLLE ONEILL 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 Anesthetist181999NC
2367500000XCertified Registered Nurse AnesthetistNA4104CA
3367500000XCertified Registered Nurse AnesthetistAP121103TX
4367500000XCertified Registered Nurse Anesthetist320898AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700865813
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLLE ONEILL CRNA
Provider Business Mailing Address
First Line : 7200 CAMBRIDGE ST FL 10
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4202
Country : US
Telephone Number : 713-798-1750
Fax Number : 713-798-4693
Provider Business Practice Location Address
First Line : 1551 E TANGERINE RD
Second Line :
City : ORO VALLEY
State : AZ
Zip : 85755-6213
Country : US
Telephone Number : 520-901-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 03/20/2025

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