Individual
DIANE MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
29017 CEDAR RD, LYNDHURST, OH 44124-4073
(440) 460-8000
(440) 460-1759
Mailing address
PO BOX 567, CHAGRIN FALLS, OH 44022-0567
(216) 464-5160
(216) 464-5982
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
241421
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221239
UNISON
OH
01
—
000000515998
ANTHEM
OH
01
—
0583328
BCMH
OH
05
—
2231954
—
OH
01
—
415009
WELLCARE MEDICAID
OH
01
—
7073374
AETNA
OH
01
—
750910
BUCKEYE MEDICAID
OH
01
—
P00416772
MEDICARE RAILROAD
OH
Enumeration date
08/26/2005
Last updated
05/19/2008
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