Individual
MARK W BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
1900 23RD ST, CUYAHOGA FALLS, OH 44223-1404
(330) 971-7123
(330) 971-7119
Mailing address
2029 19TH ST, CUYAHOGA FALLS, OH 44223-1947
(330) 957-0471
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020130
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111822
—
OH
Enumeration date
10/01/2014
Last updated
02/09/2024
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