Healthcare Provider Details
I. General information
NPI: 1194825364
Provider Name (Legal Business Name): ROBIN LOWERY CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/25/2006
Last Update Date: 09/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 AKRON GENERAL AVE
AKRON OH
44307-2432
US
IV. Provider business mailing address
224 W EXCHANGE ST SUITE 220
AKRON OH
44302-1704
US
V. Phone/Fax
- Phone: 330-344-6000
- Fax:
- Phone: 330-344-7040
- Fax: 330-344-1714
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | RN-266826 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: