Individual
MICHELLE M SPANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
740 E STATE ST, 740 E STATE STREET, SHARON, PA 16146-3328
(724) 983-7310
(724) 983-2797
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN271065
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN603786
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150016
MEDICARE PTAN
PA
05
—
2926810
—
OH
Enumeration date
02/19/2009
Last updated
05/16/2019
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