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NPI Code Detail

MEDICARE: ALICIA NAMROW CRNA

MEDICARE: ALICIA NAMROW CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerNP07177OH
2367500000XCertified Registered Nurse AnesthetistCOA 12108 NAOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144219890
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA NAMROW CRNA
Provider Business Mailing Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 440-312-4500
Fax Number :
Provider Business Practice Location Address
First Line : 6780 MAYFIELD RD
Second Line :
City : MAYFIELD HTS
State : OH
Zip : 44124-2203
Country : US
Telephone Number : 440-312-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 02/17/2011

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