Individual
MARY C BAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
234 GOODMAN, CINCINNATI, OH 45219-2364
(513) 558-4194
(513) 558-0995
Mailing address
3200 BURNET AVE, 3 SOUTH, CINCINNATI, OH 45229-3019
(513) 585-5503
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.317520-COA1
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.10624-NA
OH
Other
Enumeration date
11/26/2008
Last updated
04/11/2015
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