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NPI Code Detail

MEDICARE: CONSTANCE M KORALEWSKI CRNA

MEDICARE: CONSTANCE M KORALEWSKI 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 Anesthetist00691-NAOH

General Provider Information

NPI Number : 1891943460
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONSTANCE M KORALEWSKI CRNA
Provider Business Mailing Address
First Line : DEPT L2312
Second Line :
City : COLUMBUS
State : OH
Zip : 43260-0001
Country : US
Telephone Number : 800-270-2955
Fax Number : 614-764-0461
Provider Business Practice Location Address
First Line : 6520 W CAMPUS OVAL
Second Line :
City : NEW ALBANY
State : OH
Zip : 43054-8726
Country : US
Telephone Number : 614-413-2233
Fax Number : 614-413-2234
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2008
Last Update Date : 02/25/2009

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