Individual
BRENDA RARICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
140 HUNTINGTON WOODS DR, MADISON, OH 44057
(440) 479-4414
Mailing address
140 HUNTINGTON WOODS DR, MADISON, OH 44057
(440) 479-4414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-249121
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
050166
OH
Other
Enumeration date
12/01/2005
Last updated
01/17/2014
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