Vincent Fredrick Icalia
Vincent Fredrick Icalia is a Certified Registered Nurse Anesthetist (CRNA) in Las Vegas, Nevada. Qualified in 2020, 6 years ago. Practices with Kaiser Foundation Health Plan Inc, a 110-clinician group and accepts Medicare assignment. Licensed in Nevada.
- Years since qualifying
- 6
- Licensed in
- NV
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
Las Vegas, NVFax: (702) 209-2064
No coordinates on file. Search this address in Google Maps
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence TEMP836563 (NV) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1447846316 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 15, 2020 |
| Last updated in NPPES | February 19, 2021 |
| Certification date | February 19, 2021 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Kaiser Foundation Health Plan Inc — 110 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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