Healthcare Provider Details

I. General information

NPI: 1598766610
Provider Name (Legal Business Name): EVE KAREN PHYTHYON CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EVE KAREN KANEFSKY CRNA MS

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVE
CLEVELAND OH
44106
US

IV. Provider business mailing address

3605 WARRENSVILLE CENTER ROAD 1ST FLOOR
SHAKER HTS OH
44122
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-3771
  • Fax:
Mailing address:
  • Phone: 216-286-6260
  • Fax: 216-286-6341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN262200
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR093446
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number7333
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: