Individual
ANNE M ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 452-9911
Mailing address
PO BOX 80690, CANTON, OH 44708-0690
(330) 363-7444
(330) 363-7770
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN241753
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000352577
ANTHEM
—
05
—
2441156
—
OH
01
—
P00071986
MEDICARE RAILROAD
—
Enumeration date
10/12/2006
Last updated
07/05/2022
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