Nicole Wickoren, CNA

CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)

100 Mercy Way

Joplin, MO 648044524

(417) 556-3729

**NPI:** 1104448943

**Med School:** OTHER

**Experience:** 5 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (1)

NORTHSTAR ANESTHESIA OF MISSOURI LLC

100 Mercy Way
Joplin, MO 648044524

Phone: (417) 556-3729

**Group ID:** 4082908249 | **Group Size:** 66 members

ST MARY'S MEDICAL CENTER Type: Hospital
201 NW R D MIZE RD
Phone: (816) 228-5900
Medicare CCN: 260193 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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