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NPI Code Detail

MEDICARE: VICTORIA LYNNE WINTERHALTER CRNA

MEDICARE:   VICTORIA LYNNE WINTERHALTER  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 AnesthetistRN131610OH

General Provider Information

NPI Number : 1437307501
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA LYNNE WINTERHALTER CRNA
Provider Business Mailing Address
First Line : 3180 KETTERING BLVD
Second Line :
City : MORAINE
State : OH
Zip : 45439-1924
Country : US
Telephone Number : 937-297-6072
Fax Number : 937-293-0969
Provider Business Practice Location Address
First Line : 3180 KETTERING BLVD
Second Line :
City : MORAINE
State : OH
Zip : 45439-1924
Country : US
Telephone Number : 937-297-6072
Fax Number : 937-293-0969
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2008
Last Update Date : 10/31/2008

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Directions to “ VICTORIA LYNNE WINTERHALTER CRNA” Practice Location

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