Individual
KARLA SHAYNE HOUSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
740 E STATE ST, SHARON, PA 16146-3328
(724) 983-7310
(724) 983-2797
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN306266
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN606176
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000631046
ANTHEM BCBS
OH
01
—
164615ZB29
MEDICARE PTAN
PA
05
—
3021867
—
OH
01
—
P00776761
MEDICARE RAILROAD
PA
Enumeration date
09/22/2009
Last updated
09/16/2014
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