Healthcare Provider Details

I. General information

NPI: 1811633639
Provider Name (Legal Business Name): ALEXANDRA CYNTHIA MCGUIRE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2022
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

981 WOOSTER RD
MILLERSBURG OH
44654-1536
US

IV. Provider business mailing address

283 E JONES ST
MILLERSBURG OH
44654-8866
US

V. Phone/Fax

Practice location:
  • Phone: 330-674-1015
  • Fax:
Mailing address:
  • Phone: 513-320-2015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN.CRNA.0020521
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.439935
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: