Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUPHAPHONE BOUNMYTHAVONG NICKSIC, CRNA
ActiveSOUPHAPHONE BOUNMYTHAVONG NICKSIC, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in ELGIN, Illinois. NPI 1740425701 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · ELGIN, IL
Registration Details
- NPI Number
- 1740425701
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 4, 2008 (17.738610962168 yrs)
- Last Updated
- Aug 30, 2023
- Licenses
-
28181986A (IN)209008677 (IL)
Practice Information
- Address
-
1425 N RANDALL RDELGIN, IL, 601232300Browse IL providers · Browse ZIP 60123
- Phone
- 2247831065
- Fax
- 2247832852
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in ELGIN, IL
| Name | Credential | NPI |
|---|---|---|
| JOAN YOUNG | CRNA | 1518925544 |
| JANINE A. GOODSITE | CRNA | 1093763070 |
| LAURA J SOSTAK | CRNA | 1134230808 |
| STEVE URBANE | CRNA | 1790889111 |
| DANIELLE M NAKHSHIN | CRNA | 1942510151 |
| STACY JONES | CRNA | 1780952010 |
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.