Mary Anne Medlock, CRNA
Nurse Anesthetist, Certified Registered in Cincinnati, OH. Individual provider (NPI-1).
NPI number1629068507
StatusActive
Last updated in NPPESDec 7, 2018
Details
- NPI
- 1629068507
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary Anne Medlock
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2005
- Last updated
- Dec 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 202765 | OH | Yes |
Other names
- Mary Anne Layne (Former Name)
Practice location
2000 Joseph E. Sanker BoulevardThe Urology Center
Cincinnati, OH 45212
Phone 513-841-7600 · Fax 513-841-7601
Mailing address
4549 Raynor CourtOutpatient Anesthesia Specialist
Mason, OH 45040
Phone 513-204-5696 · Fax 877-284-4283
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