Individual provider · Type 1 NPI
Mihailo Nikolic
Certified Registered Nurse Anesthetist · Peoria, IL
Practice location
221 NE Glen Oak Ave
Peoria, IL 61636-1000
Fax (309) 672-5735
Mailing address
1616 Pecan Grv
Tupelo, MS 38801-7182
Other practice locations
- 1616 Pecan Grv, Tupelo, MS 38801-7182 · (662) 321-3793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Certified Registered Nurse Anesthetist Primary | 367500000X | 209035930 (IL) |
Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…
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About NPI 1013744879
Mihailo Nikolic's National Provider Identifier is 1013744879, issued on Sep 16, 2024. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Peoria, IL. The record was last updated on Jun 29, 2026.