Search › Texas › 367500000X
Nickolas Fedack, DNP, CRNA
NPI 1124618061 · on the registry since 2021
Practice
- Address
- 5005 N. Piedras St.
El Paso, TX 79920 - Phone
- (915) 742-1970
- Organisation at this address
- United States Army
Odyssey Health Care
Amc William Beaumont-Ft Bliss
William Beaumont Army Medical Center
William Beaumont Army Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 294
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163WC0200X
- Licence states on file
- TX, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas