Individual
ALEXIS RAE HERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN-CRNA
Contact information
Practice address
7630 SOUTHERN BLVD, YOUNGSTOWN, OH 44512-5633
(330) 729-8000
(330) 729-8084
Mailing address
100 DEBARTOLO PL STE 200, YOUNGSTOWN, OH 44512-6095
(330) 729-8146
(330) 965-5229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.440441
OH
163W00000X
Registered Nurse
RN772525
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0021270
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126969
—
OH
Enumeration date
11/03/2023
Last updated
06/05/2025
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