Individual
MRS. SHARON A DUTTWEILER-ESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, SUITE 258, EDGEWOOD, KY 41017-5401
(859) 341-7246
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1052850
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
28149226A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000280766
ANTHEM
IN
01
—
000000288567
ANTHEM BLUE SHIELD
—
05
—
200417460
—
IN
05
—
2380810
—
OH
05
—
74347428
—
KY
01
—
P00005483
RAILROAD MEDICARE
IN
Enumeration date
12/05/2005
Last updated
02/05/2024
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