MEDICARE: MRS. BARBARA DOONER C.R.N.A.

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	223521	OH

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

General Provider Information

NPI Number	:	1912999269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBARA DOONER C.R.N.A.

Provider Business Mailing Address
First Line	:	3701 SUTHERLAND RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-5136
Country	:	US
Telephone Number	:	330-704-3251
Fax Number	:

Provider Business Practice Location Address
First Line	:	3701 SUTHERLAND RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-5136
Country	:	US
Telephone Number	:	330-704-3251
Fax Number	:

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	01/11/2012

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