MEDICARE: MS. DAWN HOZJAN C.R.N.A.

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
1	367500000X	Certified Registered Nurse Anesthetist	241798	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396737631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DAWN HOZJAN C.R.N.A.

Provider Business Mailing Address
First Line	:	587 E TWINSBURG RD
Second Line	:
City	:	NORTHFIELD
State	:	OH
Zip	:	44067-2853
Country	:	US
Telephone Number	:	330-468-6633
Fax Number	:

Provider Business Practice Location Address
First Line	:	24025 COMMERCE PARK
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5823
Country	:	US
Telephone Number	:	216-839-1800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	06/10/2009

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