MEDICARE: IRINI VAZIRI 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	RN568880	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00287187	OTHER	PA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7283632	OTHER	PA	AETNA-NON HMO
2	106614	OTHER	PA	GEISINGER
3	2620652000	OTHER	PA	INDEPENDENCE BLUE CROSS
4	50058188	OTHER	PA	CAPITAL BLUE CROSS
6	001783294	OTHER	PA	HIGHMARK
7	50058188	OTHER	PA	KEYSTONE HEALTH PLAN CENTRAL
8	1150073	OTHER	PA	AETNA-HMO

General Provider Information

NPI Number	:	1821053687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRINI VAZIRI CRNA

Provider Business Mailing Address
First Line	:	555 N DUKE ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17602-2250
Country	:	US
Telephone Number	:	717-544-5511
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 N DUKE ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17602-2250
Country	:	US
Telephone Number	:	717-544-5511
Fax Number	:

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

Provider Enumeration Date	:	04/17/2006
Last Update Date	:	03/12/2026

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Directions to “ IRINI VAZIRI CRNA” Practice Location

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