| Nicole Latasha Cesaire, CRNA | |
|
4070 Highway 17, Murrells Inlet, SC 29576-5033 | |
| (843) 652-1000 | |
| Not Available |
| Full Name | Nicole Latasha Cesaire |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4070 Highway 17, Murrells Inlet, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194535617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 153382 (Florida) | Primary |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Latasha Cesaire, CRNA 1311 Nw 76th Ave, Plantation, FL 33322-4739 Ph: () - | Nicole Latasha Cesaire, CRNA 4070 Highway 17, Murrells Inlet, SC 29576-5033 Ph: (843) 652-1000 |
James David Forrest, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 747 Woody Point Dr, Murrells Inlet, SC 29576 Phone: 843-359-9749 | |
Chloe Urig Bond, DNAP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4070 Highway 17, Murrells Inlet, SC 29576 Phone: 843-652-1000 | |
Ella Tisdale, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4070 Highway 17, Murrells Inlet, SC 29576 Phone: 843-652-1000 | |
Chester Homicki, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4070 Highway 17, Murrells Inlet, Murrells Inlet, SC 29576 Phone: 843-652-1000 | |
Amy Dudzinski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4070 Highway 17, Murrells Inlet, SC 29576 Phone: 843-652-1000 | |
Sandra D Shelley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3911 Highway 17 # B, Murrells Inlet, SC 29576 Phone: 843-651-8211 |