Individual
TINA PEREBZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6000 WEST CREEK RD, STE 10, INDEPENDENCE, OH 44131-2182
(216) 986-1309
(216) 986-1191
Mailing address
6000 WEST CREEK RD, STE 10, INDEPENDENCE, OH 44131-2182
(216) 986-1309
(216) 986-1191
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA-06677
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000328397
ANTHEM PIN
OH
05
—
2296037
—
OH
Enumeration date
06/23/2005
Last updated
03/21/2012
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