Individual
MS. BARBARA M DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
11991 TAYLOR WELLS RD, CHARDON, OH 44024-7900
(440) 724-0722
(440) 635-0046
Mailing address
11991 TAYLOR WELLS RD, CHARDON, OH 44024-7900
(440) 724-0722
(440) 635-0046
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
197187
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2053843
—
OH
Enumeration date
08/24/2005
Last updated
04/19/2013
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