Individual
JUDITH ANN CASTRONOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(330) 729-2929
(330) 729-1841
Mailing address
4135 BOARDMAN-CANFIELD ROAD, SUITE 101, CANFIELD, OH 44406-7010
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN234989
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2367013
—
OH
01
—
430076407
MEDICARE RAILROAD
OH
01
—
8230631
MEDICARE PTAN
OH
Enumeration date
06/23/2006
Last updated
12/16/2014
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