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SOUPHAPHONE NICKSIC, CRNA

CRNA

Certified Registered Nurse Anesthetist

NPI: 1740425701IndividualAccepts Medicare

Specialties, Licenses & Credentials

Certified Registered Nurse AnesthetistPrimary

Nurse Anesthetist, Certified Registered

Code: 367500000X

28181986A(IN)209008677(IL)

CMS Specialties

PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)

Education

OTHER

Class of 2009

Contact & Hours

Via practice · 3 locations total

Address
1425 N RANDALL RD
ELGIN, IL 60123

Quick Facts

NPI
1740425701
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
3
Years in Practice
17

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