Individual
MARIO L NIGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1995 E STATE ST, SALEM, OH 44460-2423
(330) 759-9350
(330) 759-9387
Mailing address
3622 BELMONT AVE, SUITE 1, YOUNGSTOWN, OH 44505-1450
(330) 759-9350
(330) 759-9387
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-185663
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.00840-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430012039
MEDICARE RAILROAD
OH
05
—
748767
—
OH
Enumeration date
06/09/2006
Last updated
03/31/2014
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