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NPI Code Detail

MEDICARE: ELFRIEDA MARIE LONDEREE CRNA

MEDICARE:   ELFRIEDA MARIE LONDEREE  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
1367500000XCertified Registered Nurse AnesthetistRN179368OH
2367500000XCertified Registered Nurse Anesthetist903741NY

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 : 1144246190
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELFRIEDA MARIE LONDEREE CRNA
Provider Business Mailing Address
First Line : 2600 SIXTH ST SW
Second Line :
City : CANTON
State : OH
Zip : 44710-1702
Country : US
Telephone Number : 330-363-7462
Fax Number : 330-363-7679
Provider Business Practice Location Address
First Line : 736 IRVING AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13210-1602
Country : US
Telephone Number : 315-470-7111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 10/02/2025

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