Individual
MS. MYRA F MARDIS
Active
Individual
MS. MYRA F MARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95002717
CA
367500000X
Certified Registered Nurse Anesthetist
RN286402
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000354962
ANTHEM
OH
05
—
2540576
—
OH
Enumeration date
08/04/2006
Last updated
06/08/2026
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