Individual
STACI J DUFFY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
190 N UNION ST, STE 104, AKRON, OH 44304-1369
(330) 253-9145
(330) 253-6222
Mailing address
190 N UNION ST, STE 104, AKRON, OH 44304-1369
(330) 253-9145
(330) 253-6222
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-204914
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000125756
ANTHEM BCBS INDV #
OH
01
—
100153
EMPLYR KAISER GROUP #
OH
01
—
120750
KAISER PERMANENTE INDV #
OH
01
—
2080224
UNITED HEALTHCARE GROUP #
OH
05
—
2179575
—
OH
05
—
7091249
—
OH
01
—
730547
BUCKEYE COMMUNITY HLTH PL
OH
Enumeration date
05/05/2006
Last updated
07/09/2007
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