Individual
JULITO LUCIO YRANELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8701 BROADWAY, MERRILLVILLE, IN 46410-7035
(219) 738-4929
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209004938
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
28158807A
IN
367H00000X
Anesthesiologist Assistant
28158807A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200459700
—
IN
Enumeration date
06/15/2006
Last updated
10/09/2024
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