Individual
MRS. STEPHANIE FAYE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., C.R.N.A.
Contact information
Practice address
4549 RAYNOR COURT, OUTPATIENT ANESTHESIA SPECIALISTS, MASON, OH 45040
(513) 204-5696
(877) 284-4283
Mailing address
PO BOX 807, OUTPATIENT ANESTHESIA SPECIALISTS, MASON, OH 45040-0807
(513) 204-5696
(877) 284-4283
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-286110
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
NA-08698
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000532763
ANTHEM BCBS
KY
05
—
2963280
—
OH
05
—
7100014120
—
KY
Enumeration date
05/11/2006
Last updated
02/04/2016
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