Individual
DEBORAH A OLDAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
22364
WV
367500000X
Certified Registered Nurse Anesthetist
NA01056
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067575000
—
WV
05
—
0762036
—
OH
Enumeration date
10/05/2005
Last updated
09/08/2022
Update your record
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