Healthcare Provider Details

I. General information

NPI: 1093761165
Provider Name (Legal Business Name): MARY MARGARET CAIRNS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARY MARGARET BOYD CRNA

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 02/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 ORANGE ST COSHOCTION COUNTY MEMORIAL HOSPITAL
COSHOCTON OH
43812-2229
US

IV. Provider business mailing address

2133 BEDROCK RD NW
DELLROY OH
44620-9608
US

V. Phone/Fax

Practice location:
  • Phone: 740-622-6411
  • Fax:
Mailing address:
  • Phone: 330-735-3289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN106362
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: