Individual
ELIZABETH M DEMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3777
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6614
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.310129
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3019503
—
OH
01
—
P00839052
MEDICARE RAILROAD
OH
Enumeration date
12/16/2009
Last updated
09/14/2010
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