Individual
CONSTANCE M COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
75 SYLVANIA DR, BEAVERCREEK, OH 45440-3237
(937) 320-5050
(937) 320-5060
Mailing address
1859 LIBERTY RD, NEW CARLISLE, OH 45344-8527
(937) 308-5407
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.07366-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2476904
—
OH
Enumeration date
06/15/2006
Last updated
05/02/2017
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