Nicole Kemp Damico, CRNA
Nurse Anesthetist, Certified Registered in Richmond, VA. Individual provider (NPI-1).
NPI number1982608840
StatusActive
Last updated in NPPESNov 21, 2024
Details
- NPI
- 1982608840
- Entity type
- Individual (NPI-1)
- Name
- Nicole Kemp Damico
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2005
- Certification date
- Nov 21, 2024
- Last updated
- Nov 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024164213 | VA | Yes |
Practice location
10800 Midlothian TpkeSuite 265
Richmond, VA 23235-4724
Phone 804-594-2622 · Fax 804-594-0915
Mailing address
2011 Winterfield RdMidlothian, VA 23113-4164
Phone 804-628-3595 · Fax 804-594-0915
Other practice locations
1755 N Mecklenburg Ave
South Hill, VA 23970-4080
South Hill, VA 23970-4080
Phone 434-584-5412 · Fax 434-584-5579
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