Mcclure, Mary L

Mcclure, Mary L is an individual health care provider with primary practice located at 7525 California Ave , Boardman OH 44512-5623. 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. Mcclure, Mary L can be contacted via phone (330) 758-1954.

Contact Information

Primary practice address
7525 California Ave Boardman OH 44512-5623
Phone: (330) 758-1954
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN101121 Ohio

Profile Details

NPI number 1568481323
LBN Legal business name Mcclure, Mary L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568481323 NPPES
Ohio MEDICAID 0794949
Ohio Other P00241028
Ohio Other 000000353839

Popular Providers