Individual provider · Type 1 NPI

Nicole Lynn Wickoren, CRNA

Certified Registered Nurse Anesthetist · Overland Park, KS

NPI number 1104448943 Active

Practice location

7820 W 165th St
Overland Park, KS 66223-2925

Call (913) 373-2000 Map

Fax (913) 428-2951

Mailing address

8717 W 110th St Ste 600
Overland Park, KS 66210-2126

Other practice locations

  • 2316 E Meyer Blvd, Kansas City, MO 64132-1136 · (913) 428-2900

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X43-557796 (KS)
Certified Registered Nurse Anesthetist 367500000X2020012946 (MO)
Registered Nurse 163W00000X2005038282 (MO)

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…

12 other providers at this address

Other certified registered nurse anesthetist providers in Overland Park

See all in Overland Park →

About NPI 1104448943

Nicole Lynn Wickoren, CRNA's National Provider Identifier is 1104448943, issued on May 14, 2020. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Overland Park, KS. The record was last updated on Apr 21, 2026.