Individual
JANELLE HIDEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 S CLEVELAND AVE, ST. ANN'S HOSPITAL ANESTHESIA DEPT, WESTERVILLE, OH 43081-8971
(614) 898-6659
(614) 898-8631
Mailing address
PO BOX 20452, COA - CRED, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN176226COA1
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000278178
ANTHEM BCBS
OH
05
—
0763713
—
OH
01
—
430078620
RAILROAD MEDICARE
OH
Enumeration date
07/29/2005
Last updated
09/03/2014
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