NPI 1144389222

Susan F Dimassa, CRNA

Practitioner Certified Registered Nurse Anesthetist Elyria, OH

Practice location

Address: 5319 Hoag Drive, Elyria, OH 44035-1494
Phone: (440) 930-6050
Fax: (440) 934-8882
Mailing address: 13523 Barrett Parkway Drive Suite 104, Ballwin, MO 63021-2802

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence COA.03829-NA (OH)

Other Nurse Anesthetist, Certified Registered providers in Ohio →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 42507 (OH)

Registry record

NPI: 1144389222
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2006
Record last updated: 10 Feb 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.