Individual
KIRSTEN R YURICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1031 W WESTERN RESERVE RD, POLAND, OH 44514-3541
(330) 965-0900
(330) 965-9250
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11011738
FL
367500000X
Certified Registered Nurse Anesthetist
RN285372
OH
367500000X
Certified Registered Nurse Anesthetist
RN573878
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015362870001
—
PA
01
—
168268
MEDICARE PTAN
PA
05
—
2614620
—
OH
01
—
8236253
MEDICARE PTAN
OH
Enumeration date
07/27/2006
Last updated
10/13/2023
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