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NPI Code Detail

MEDICARE: DR. HANNAH MALLEY COYNE DNP, CRNA

MEDICARE: DR. HANNAH MALLEY COYNE DNP, 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 Anesthetist143102OH

General Provider Information

NPI Number : 1720770571
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HANNAH MALLEY COYNE DNP, CRNA
Provider Business Mailing Address
First Line : 2347 LALEMANT RD
Second Line :
City : UNIVERSITY HEIGHTS
State : OH
Zip : 44118-4503
Country : US
Telephone Number : 440-832-1897
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-444-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2023
Last Update Date : 05/22/2023

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