Individual
SARA KACZMAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2718 SUNSET BLVD, STEUBENVILLE, OH 43952-1182
(740) 266-6622
(740) 266-6453
Mailing address
2718 SUNSET BLVD, STEUBENVILLE, OH 43952-1182
(740) 266-6622
(740) 266-6453
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
18607
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065962000
—
WV
05
—
0756034
—
OH
01
—
P00395504
RAILROAD MEDICARE
—
Enumeration date
08/22/2006
Last updated
02/14/2008
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