Individual
PATRICK SLOAN VACCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
970 E WASHINGTON ST, SUITE 203, MEDINA, OH 44256-3332
(330) 723-7246
(330) 725-7855
Mailing address
988 HIDDEN VALLEY DR, WADSWORTH, OH 44281-8132
(330) 334-5988
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA05372
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2134425
—
OH
Enumeration date
03/17/2006
Last updated
04/03/2020
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