Healthcare Provider Details

I. General information

NPI: 1225097017
Provider Name (Legal Business Name): BARBARA ROWE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 10/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 NEIL AVE
COLUMBUS OH
43215-2362
US

IV. Provider business mailing address

843 VERNON RD
BEXLEY OH
43209-5420
US

V. Phone/Fax

Practice location:
  • Phone: 614-827-6600
  • Fax: 614-827-6690
Mailing address:
  • Phone: 614-231-1339
  • Fax: 614-447-9593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN143627
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: