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Individual

MS. JANICE ANN MCFADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
125 TURNBERRY XING, BROADVIEW HEIGHTS, OH 44147-3079
(440) 666-3883
Mailing address
125 TURNBERRY XING, BROADVIEW HEIGHTS, OH 44147-3079
(440) 666-3883

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN203504
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000225078
UNISON
OH
01
000000516000
ANTHEM
OH
05
0254639
OH
01
0583328
BCMH
OH
01
414790
WELLCARE
OH
01
740772
BUCKEYE
OH
01
7483578
AETNA
OH
01
P00412370
RAILROAD MEDICARE
OH
Enumeration date
04/26/2006
Last updated
06/16/2008
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