Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY ANN NICKERSON, RN, BSN
ActiveKELLY ANN NICKERSON, RN, BSN is a Nurse Anesthetist, Certified healthcare provider located in DAMASCUS, Oregon. NPI 1235969742 is currently active in the NPPES registry. Verify at CMS.
Nurse Anesthetist, Certified · DAMASCUS, OR
Registration Details
- NPI Number
- 1235969742
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 7, 2024 (2.0046728417404 yrs)
- Last Updated
- Aug 7, 2024
- License
-
201142980RN (OR)
Practice Information
- Address
-
15758 SE HIGHWAY 224 UNIT 96DAMASCUS, OR, 970898410Browse OR providers · Browse ZIP 97089
- Phone
- 5034218226
- Primary Specialty
-
Nurse Anesthetist, Certified
163WA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.