Healthcare Provider Details

I. General information

NPI: 1790771087
Provider Name (Legal Business Name): CLAIRE A HUEBNER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 10/12/2020
Certification Date: 10/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UPMC HAMOT MEDICAL CENTER 201 STATE ST
ERIE PA
16550
US

IV. Provider business mailing address

565 COAL VALLEY RD
JEFFERSON HILLS PA
15025-3703
US

V. Phone/Fax

Practice location:
  • Phone: 814-877-6182
  • Fax:
Mailing address:
  • Phone: 412-469-5000
  • Fax: 412-469-7174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024175286
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number072391
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: