Individual
TERIA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-6173
(937) 208-3843
Mailing address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-6173
(937) 208-3843
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN170956
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0950369
—
OH
Enumeration date
02/20/2007
Last updated
04/02/2020
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