Nichoalds, Demitra Marie

Nichoalds, Demitra Marie is an individual health care provider with primary practice located at 3015 N Ballas Rd , Saint Louis MO 63131-2329. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Nichoalds, Demitra Marie can be contacted via phone (314) 996-5330.

Contact Information

Primary practice address
3015 N Ballas Rd Saint Louis MO 63131-2329
Phone: (314) 996-5330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 2014035076 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2020019118 Missouri

Profile Details

NPI number 1144841461
LBN Legal business name Nichoalds, Demitra Marie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2020
Last updated Aug 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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