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NPI Code Detail

MEDICARE: ROSEMARY HOGLE CRNA

MEDICARE: ROSEMARY HOGLE 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 AnesthetistRN-249686-LPA

General Provider Information

NPI Number : 1417998535
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEMARY HOGLE CRNA
Provider Business Mailing Address
First Line : PO BOX 670464
Second Line :
City : NORTHFIELD
State : OH
Zip : 44067-0464
Country : US
Telephone Number : 330-322-9269
Fax Number :
Provider Business Practice Location Address
First Line : 750 E BEAU ST
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-6661
Country : US
Telephone Number : 724-228-7477
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 07/08/2007

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