Agra, Arlene G

Agra, Arlene G is an individual health care provider with primary practice located at 860 East Broad Street Suite I, Elyria OH 44035. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Agra, Arlene G can be contacted via phone (440) 323-8458.

Contact Information

Primary practice address
860 East Broad Street Suite I Elyria OH 44035
Phone: (440) 323-8458
Fax: (440) 323-7900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 203557 Ohio

Profile Details

NPI number 1669587911
LBN Legal business name Agra, Arlene G
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669587911 NPPES
Ohio MEDICAID 2625949

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