Individual
STEPHANIE SIVERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 816-8000
Mailing address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 816-6246
(440) 816-6263
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.019743
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0320249
—
OH
Enumeration date
08/30/2018
Last updated
10/19/2020
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