Individual provider · Type 1 NPI

Nicole Lane, RN

Critical Care Medicine Registered Nurse · Gresham, OR

NPI number 1063745453 Active

Practice location

1616 NE 16th Way, Apt 308
Gresham, OR 97030-4272

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200X2000940759RN (OR)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1063745453

Nicole Lane, RN's National Provider Identifier is 1063745453, issued on Sep 16, 2009. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Gresham, OR. The record was last updated on Sep 16, 2009.