Individual
MARIE A MORELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8401 MARKET ST, YOUNGSTOWN, OH 44512-6725
(330) 729-2929
(330) 286-5396
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 1, 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.00407
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000692380
ANTHEM BCBS
OH
05
—
0880435
—
OH
01
—
11891926
CAQH
—
01
—
8213196
MEDICARE PTAN
OH
Enumeration date
05/22/2006
Last updated
02/26/2020
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