NICOLE GENEVIEVE SHADWICK

LAKE HAVASU CITY, AZ
NPI1447857552
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  1026890)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  95002021)
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  aprn11022686)
367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2022021771)
Enumeration Date2020-10-02
Last Update Date2025-09-08
Business Address
Ms. NICOLE GENEVIEVE SHADWICK CRNA
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ 86403-5607
Phone number: 928-855-8185
Mailing Address
Ms. NICOLE GENEVIEVE SHADWICK CRNA
660 S EUCLID AVE CB 8054
SAINT LOUIS, MO 63110-1010
Phone number: 800-862-9980