Individual
MARY C VAUGHN GREATHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1900 23RD ST, CUYAHOGA FALLS, OH 44223-1404
(330) 971-7000
(330) 296-6535
Mailing address
1900 23RD ST, CUYAHOGA FALLS, OH 44223-1404
(330) 971-7000
(330) 296-6535
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.08510
OH
367500000X
Certified Registered Nurse Anesthetist
RN272485
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2624333
—
OH
Enumeration date
06/08/2006
Last updated
05/30/2023
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