Individual
KATIE E DURACKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3000 ARLINGTON AVE, TOLEDO, OH 43614-2595
(419) 383-3556
(419) 383-3550
Mailing address
3355 GLENDALE AVE 3RD FL, TOLEDO, OH 43614-2426
(419) 383-5322
(419) 383-6235
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.14184-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084747
—
OH
01
—
COA.14184-NA
LICENSE
OH
Enumeration date
04/09/2013
Last updated
08/25/2017
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