Individual
MRS. HOLLY MARIE HENGSTENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
40 W ERIE ST, SUITE 203, PAINESVILLE, OH 44077-3274
(440) 350-0832
(440) 354-7420
Mailing address
PO BOX 77033, CLEVELAND, OH 44194-7033
(440) 350-0832
(440) 354-7420
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.13883-NA
OH
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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