Individual
CHAD MORTIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4135 BOARDMAN CANFIELD RD STE 101, CANFIELD, OH 44406-9803
(330) 286-5330
Mailing address
3670 STRAWBERRY HL, ROOTSTOWN, OH 44272-9278
(330) 219-9180
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.416494
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0021356
OH
Other
Enumeration date
11/02/2022
Last updated
06/09/2025
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