| Nicollette Leigh Pauksta, BSN, RN, CRNA | |
|
101 E Wood St, Spartanburg, SC 29303-3040 | |
| (864) 560-6122 | |
| (864) 560-6276 |
| Full Name | Nicollette Leigh Pauksta |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 101 E Wood St, Spartanburg, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285819326 | NPI | - | NPPES |
| P00846188 | Other | SC | RAILROAD MEDICARE |
| AN1652 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 078458 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicollette Leigh Pauksta, BSN, RN, CRNA Po Box 277723, Atlanta, GA 30384-7723 Ph: (864) 560-4123 | Nicollette Leigh Pauksta, BSN, RN, CRNA 101 E Wood St, Spartanburg, SC 29303-3040 Ph: (864) 560-6122 |
Adam Raynes, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 | |
Christin Bailey Coggins, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 Fax: 864-560-4023 | |
Melissa E Richardson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6122 | |
Charity Michelle Taylor, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 Fax: 864-560-4023 | |
Mr. Richard Niles Vaught, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 | |
Mrs. Lori Saxon Brooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6122 Fax: 864-560-6276 | |
Seth Tyler House, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6122 |