NPI 1205236031

Nicholas Sample, CAA

Practitioner Anesthesiologist Assistant La Crosse, WI

Practice location

Address: 1836 South Ave, La Crosse, WI 54601-5429
Phone: (608) 782-7300

Registered specialties (2)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 195-17 (WI)

Other Anesthesiologist Assistant providers in Wisconsin →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1205236031
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2014
Record last updated: 29 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.