Individual
EILEEN YAMATAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
311 STRAIGHT ST, MILLENIUM ANESTHESIA LLC, CINCINNATI, OH 45219-1018
(859) 341-7246
(859) 341-7867
Mailing address
PO BOX 70-1612, CINCINNATI, OH 45270
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
128210
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
030493
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000195092
ANTHEM BLUE SHIELD
—
05
—
0767693
—
OH
01
—
727951
BUCKEYE
—
05
—
74006347
—
KY
Enumeration date
12/14/2005
Last updated
04/02/2008
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