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NPI Code Detail

MEDICARE: BERTHA O ONYEMAOBI CRNA

MEDICARE: BERTHA O ONYEMAOBI CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist840951NY
2367500000XCertified Registered Nurse AnesthetistAPRN141070GA
3163W00000XRegistered NurseRN141070GA
4163W00000XRegistered NurseRN9253365FL
5367500000XCertified Registered Nurse Anesthetist0024189088VA

General Provider Information

NPI Number : 1346475746
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERTHA O ONYEMAOBI CRNA
Provider Business Mailing Address
First Line : PO BOX 551420
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33355-1420
Country : US
Telephone Number : 800-243-3839
Fax Number : 954-839-2569
Provider Business Practice Location Address
First Line : 1968 PEACHTREE ROAD NW
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1281
Country : US
Telephone Number : 404-351-1745
Fax Number : 404-351-7121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2009
Last Update Date : 03/24/2026

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Directions to “ BERTHA O ONYEMAOBI CRNA” Practice Location

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