Individual
SANDRA GEMBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
10515 CARNEGIE AVE, CLEVELAND, OH 44106-3016
(216) 928-0136
(216) 928-0141
Mailing address
10515 CARNEGIE AVE, CLEVELAND, OH 44106-3016
(216) 928-0136
(216) 928-0141
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN211887
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
041899
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127087
ANTHEM
OH
05
—
0903919
—
OH
01
—
430036930
RAILROAD MEDICARE
OH
Enumeration date
10/17/2006
Last updated
12/19/2023
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