Individual
BETTY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106
(216) 844-7330
Mailing address
3605 WARRENSVILLE CENTER RD, 1ST FLOOR, SHAKER HTS, OH 44122
(216) 286-6260
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
106246
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000233268
UNISON
OH
01
—
000000515985
ANTHEM
OH
01
—
0583328
BCMH
OH
05
—
0894180
—
OH
01
—
7085606
AETNA
OH
01
—
P00457951
RAILROAD MEDICARE
OH
Enumeration date
08/10/2005
Last updated
05/12/2008
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