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NPI Code Detail

MEDICARE: IRENE ROONEY CRNA

MEDICARE: IRENE ROONEY 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
1363LF0000XFamily Nurse Practitioner3003829KY
2367500000XCertified Registered Nurse Anesthetist3001063KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1840706945170OTHERCOROCKY MOUNTAIN HEALTH PLA

General Provider Information

NPI Number : 1578553327
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRENE ROONEY CRNA
Provider Business Mailing Address
First Line : 222 MEDICAL CIR
Second Line :
City : MOREHEAD
State : KY
Zip : 40351-1179
Country : US
Telephone Number : 606-783-6500
Fax Number :
Provider Business Practice Location Address
First Line : 222 MEDICAL CIR
Second Line :
City : MOREHEAD
State : KY
Zip : 40351-1179
Country : US
Telephone Number : 606-783-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 01/31/2014

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Directions to “ IRENE ROONEY CRNA” Practice Location

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