PHILLIP NICODEMUS, CRNA
Anesthesiology
Active
Individual
NPI: 1417917899
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Anesthesiology | 207L00000X | Yes | 33379 (WV) |
Frequently Asked Questions
NPI 1417917899 is the National Provider Identifier for PHILLIP NICODEMUS, CRNA, a Anesthesiology provider located in Martinsburg, WV. This NPI was enumerated on March 28, 2006.
PHILLIP NICODEMUS, CRNA practices at 94 OLD MILL RD, Martinsburg, WV 25401.
Quick Facts
- NPI
- 1417917899
- Type
- Individual
- Enumerated
- Mar 28, 2006
- Last Updated
- Jul 8, 2007
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