Individual
ROSANNE EARTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
667 EASTLAND AVE SE, 667 EASTLAND AVENUE SE, WARREN, OH 44484-4503
(330) 841-4100
(330) 841-4455
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN134219-COA1
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0824808
—
OH
Enumeration date
05/11/2006
Last updated
01/27/2014
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