Individual
JILL A PIRTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1934 NILES CORTLAND RD NE, WARREN, OH 44484-1055
(330) 609-7874
(330) 286-5396
Mailing address
4135 BOARDMAN CANFIELD RD STE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.02876
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000701885
ANTHEM BCBS
OH
05
—
0827565
—
OH
01
—
8210259
MEDICARE PTAN
OH
Enumeration date
05/18/2006
Last updated
01/23/2020
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