Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP NICODEMUS, CRNA
ActivePHILLIP NICODEMUS, CRNA is a Anesthesiology healthcare provider located in MARTINSBURG, West Virginia. NPI 1417917899 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · MARTINSBURG, WV
Registration Details
- NPI Number
- 1417917899
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2006 (20.409078270586 yrs)
- Last Updated
- Jul 8, 2007
- License
-
33379 (WV)
Practice Information
- Address
-
94 OLD MILL RDMARTINSBURG, WV, 254019284Browse WV providers · Browse ZIP 25401
- Phone
- 3042648933
- Fax
- 3042648846
- Primary Specialty
-
Anesthesiology
207L00000X
Other Anesthesiology Providers in MARTINSBURG, WV
| Name | Credential | NPI |
|---|---|---|
| SARAH MCLELLAN | MD | 1083694558 |
| PAULETTE PICKETT | CRNA | 1124088505 |
| MARILYN FORRESTER | CRNA | 1427018803 |
| LINDA JONES | CRNA | 1104887025 |
| DUONG THAI LY | MD | 1124032917 |
| JOHN MICHAEL MCGUIRE | CRNA | 1841346954 |
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.