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NPI 1992901482

NPI 1992901482 : ERIKA RENEE CERANOWSKI CRNA, NP : PENSACOLA, FL

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General NPI Number Information
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    NPI Number           |    1992901482
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    Entity Type          |    Individual 
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    Provider Name        |    ERIKA RENEE CERANOWSKI CRNA, NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/22/2007
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    Last Update Date     |    01/25/2021
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Provider Practice Location Address
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    Address Line         |    8383 N DAVIS HWY ANESTHESIA DEPARTMENT
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    City                 |    PENSACOLA
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    State                |    FL
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    Zip                  |    32514-6039
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    Country              |    US
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    Telephone            |    850-494-4000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1544 GLENLAKE CIR 
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    City                 |    NICEVILLE
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    State                |    FL
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    Zip                  |    32578-3825
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    Country              |    US
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    Telephone            |    210-857-6197
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    721508
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    9370330
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    9370330
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    License Number State |    FL
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