Durandetta, M Jean

Durandetta, M Jean is an individual health care provider with primary practice located at 1934 Niles Cortland Rd Ne , Warren OH 44484-1055. 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. Durandetta, M Jean can be contacted via phone (330) 609-7874.

Contact Information

Primary practice address
1934 Niles Cortland Rd Ne Warren OH 44484-1055
Phone: (330) 609-7874
Fax: (330) 609-6616
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN226380 Ohio

Profile Details

NPI number 1316997075
LBN Legal business name Durandetta, M Jean
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Mar 24th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316997075 NPPES
Ohio MEDICAID 0847981

Popular Providers