Individual
MRS. CARRIE J MIECZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0002
(216) 444-2200
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0002
(216) 444-2200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.14334-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082493
—
OH
Enumeration date
04/16/2013
Last updated
04/05/2023
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