Healthcare Provider Details

I. General information

NPI: 1154351583
Provider Name (Legal Business Name): MARGARET ELIZABETH WOOD CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 12/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E STATE ST
ALLIANCE OH
44601-4936
US

IV. Provider business mailing address

PO BOX 14806
COLUMBUS OH
43214-0806
US

V. Phone/Fax

Practice location:
  • Phone: 330-829-4000
  • Fax: 330-829-4533
Mailing address:
  • Phone: 614-261-3723
  • Fax: 614-447-9593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN267701
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: