Provider Demographics
NPI:1831576685
Name:SIKES, DUSTI (RN, CRNA, DNP)
Entity type:Individual
Prefix:
First Name:DUSTI
Middle Name:
Last Name:SIKES
Suffix:
Gender:F
Credentials:RN, CRNA, DNP
Other - Prefix:
Other - First Name:DUSTI
Other - Middle Name:
Other - Last Name:REMSCHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA DNP
Mailing Address - Street 1:492 MILL RUN RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-4657
Mailing Address - Country:US
Mailing Address - Phone:785-427-6006
Mailing Address - Fax:
Practice Address - Street 1:1061 HARMON AVE
Practice Address - Street 2:
Practice Address - City:FORT STEWART
Practice Address - State:GA
Practice Address - Zip Code:31314
Practice Address - Country:US
Practice Address - Phone:912-435-6965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-102150-041163WC0200X
KS43-557362367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine