MEDICARE: GINA GIOVANNA SPEZIANI 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
1	367500000X	Certified Registered Nurse Anesthetist	935	SC
2	367500000X	Certified Registered Nurse Anesthetist	ARNP1695952	FL
3	367500000X	Certified Registered Nurse Anesthetist	1-111107	AL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568570513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINA GIOVANNA SPEZIANI CRNA

Provider Business Mailing Address
First Line	:	2621 19TH ST S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-1913
Country	:	US
Telephone Number	:	205-271-8205
Fax Number	:

Provider Business Practice Location Address
First Line	:	2621 19TH ST S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-1913
Country	:	US
Telephone Number	:	205-271-8205
Fax Number	:

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

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	07/21/2022

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