NPI 1114237914

Scott Michael Dickerson, CRNA

Practitioner Certified Registered Nurse Anesthetist Elyria, OH

Practice location

Address: 630 E River St, Elyria, OH 44035-5902
Phone: (440) 329-7536
Mailing address: 860 E Broad St Suite I, Elyria, OH 44035-6542

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 318582 (OH)

Other Nurse Anesthetist, Certified Registered providers in Ohio →

Registry record

NPI: 1114237914
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Oct 2010
Record last updated: 14 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.