Nickolas C Southwick, CRNA

NPI #1023617362 in Plymouth, Minnesota

Provider Information

NPI Number
1023617362
Entity Type
Individual
Name
Nickolas C Southwick, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Oct 19, 2020
Last Updated
Nov 24, 2025

Practice Location

Address
14700 28TH AVE N STE 20
ZIP Code
55447-4876
Phone
(763) 559-3779

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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