Individual
ALICIA NAMROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124-2203
(440) 312-4500
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(440) 312-4500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP07177
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA 12108 NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2542903
—
OH
Enumeration date
10/17/2005
Last updated
02/17/2011
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