Healthcare Provider Details

I. General information

NPI: 1265471387
Provider Name (Legal Business Name): JEANNE TOMANIO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 COLLIERS WAY
WEIRTON WV
26062-5014
US

IV. Provider business mailing address

2 HOT METAL ST ERMI QUANTUM ONE
PITTSBURGH PA
15203-2348
US

V. Phone/Fax

Practice location:
  • Phone: 304-797-6000
  • Fax:
Mailing address:
  • Phone: 412-432-7424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberVP004983W
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number92288
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: