Healthcare Provider Details

I. General information

NPI: 1962868430
Provider Name (Legal Business Name): BRITNEY ANN DOBROKA CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITNEY ANN LEONARDI CRNA

II. Dates (important events)

Enumeration Date: 01/13/2016
Last Update Date: 08/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 E RIVER ST
ELYRIA OH
44035-5902
US

IV. Provider business mailing address

860 E BROAD ST SUITE I
ELYRIA OH
44035-6542
US

V. Phone/Fax

Practice location:
  • Phone: 440-323-8515
  • Fax: 440-323-7900
Mailing address:
  • Phone: 440-323-8515
  • Fax: 440-323-7900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number371029
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: