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Individual

OLGA ALEX CHERNYAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
201 NW R D MIZE RD, ST. MARY'S MEDICAL CENTER/ANESTHESIA SERVICES OF BLUE S, BLUE SPRINGS, MO 64014-2513
(816) 988-8415
(816) 988-8395
Mailing address
1209 NW NORTH RIDGE DR STE B, ANESTHESIA SERVICES OF BLUE SPRINGS, BLUE SPRINGS, MO 64015-6320
(816) 988-8415
(816) 988-8395

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2012020211
MO
367500000X
Certified Registered Nurse Anesthetist
686439
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158460902
TX
05
1831197680
MO
Enumeration date
07/13/2005
Last updated
03/31/2015
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