Individual
MS. SANDRA SUE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 293-8228
Mailing address
PO BOX 640446, CINCINNATI, OH 45264-0446
(937) 293-0247
(937) 293-0960
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.00471
OH
367500000X
Certified Registered Nurse Anesthetist
RN168704
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000188214
ANTHEM
OH
05
—
0768307
—
OH
01
—
430058941
RAILROAD MEDICARE
OH
Enumeration date
02/23/2006
Last updated
10/31/2024
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