Healthcare Provider Details

I. General information

NPI: 1588163802
Provider Name (Legal Business Name): ERIN KRIEG CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2018
Last Update Date: 02/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2139 AUBURN AVE
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

4925 HANLEY RD
CINCINNATI OH
45247-3538
US

V. Phone/Fax

Practice location:
  • Phone: 561-623-2044
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN355041
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: