ELIZABETH LEE NICHOLSON

BELLEVILLE, IL
NPI1417220252
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209.009368)
Enumeration Date2012-02-09
Last Update Date2016-12-18
Business Address
-- ELIZABETH LEE NICHOLSON CRNA
3636 N BELT W
BELLEVILLE, IL 62226-5947
Phone number: 618-233-5050
Mailing Address
-- ELIZABETH LEE NICHOLSON CRNA
1428 CLIFTON WAY CT
O FALLON, IL 62269-7394
Phone number: 618-977-3784
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