Individual
GINGER ANN SIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 376-1994
(740) 376-1940
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.00648.NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000505212
ANTHEM
OH
01
—
000000704162
ANTHEM
OH
05
—
0068497000
—
WV
05
—
0184456
—
OH
Enumeration date
08/30/2006
Last updated
10/07/2011
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