Individual
MR. THEODORE MICHAEL TRZASKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(330) 631-5141
Mailing address
2209 SANTOM RD E, STOW, OH 44224-4130
(330) 631-5141
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN742685
PA
367500000X
Certified Registered Nurse Anesthetist
0021146
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN742685
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN742685
PA RN LICENSE
PA
Enumeration date
02/20/2023
Last updated
05/02/2025
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