Individual
JOHN W. SCIARINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7200
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1076A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044272
BCBS PROVIDER NUMBER
—
01
—
1076A
LICENSE
KY
05
—
74393315
—
KY
Enumeration date
09/17/2006
Last updated
09/21/2011
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