MEDICARE: ALEXANDRIA JORDAN YUNETZ 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
1	367500000X	Certified Registered Nurse Anesthetist	147897	PA

General Provider Information

NPI Number	:	1922878958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRIA JORDAN YUNETZ CRNA

Provider Business Mailing Address
First Line	:	717 BRINKER AVE
Second Line	:
City	:	LATROBE
State	:	PA
Zip	:	15650-1614
Country	:	US
Telephone Number	:	412-720-2659
Fax Number	:

Provider Business Practice Location Address
First Line	:	532 W PITTSBURGH ST
Second Line	:
City	:	GREENSBURG
State	:	PA
Zip	:	15601-2282
Country	:	US
Telephone Number	:	724-832-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2024
Last Update Date	:	01/02/2024

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