Individual
MS. VIVIAN C. ADAMOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
68377 STEWART DR STE 202, SAINT CLAIRSVILLE, OH 43950-1718
(740) 699-2747
Mailing address
PO BOX 6230, WHEELING, WV 26003-0722
(304) 242-7106
(304) 242-7108
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA10305NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2319762
—
OH
Enumeration date
09/01/2005
Last updated
08/04/2022
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