Individual
EKATERINA ALEXANDRA MOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
111 S GRANT AVE FL 3, COLUMBUS, OH 43215-4701
(614) 566-9871
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(419) 520-2495
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
316912
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.019431
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205396
—
OH
Enumeration date
02/02/2017
Last updated
07/26/2022
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