DEMITRA MARIE NICHOALDS

SAINT LOUIS, MO
NPI1144841461
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2020019118)
Additional Taxonomies163WC0200X Registered Nurse, Critical Care Medicine
(Licence: MO  2014035076)
Enumeration Date2020-04-27
Last Update Date2020-08-01
Business Address
DEMITRA MARIE NICHOALDS CRNA
3015 N BALLAS RD
SAINT LOUIS, MO 63131-2329
Phone number: 314-996-5330
Mailing Address
DEMITRA MARIE NICHOALDS CRNA
554 BRIARWYCK DR
BALLWIN, MO 63011-2456
Phone number: 314-660-0535