Robert Mirynowski, CRNA
Nurse Anesthetist, Certified Registered in Freehold, NJ. Individual provider (NPI-1).
NPI number1689685232
StatusActive
Last updated in NPPESJun 29, 2025
Details
- NPI
- 1689685232
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert Mirynowski
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2006
- Certification date
- Jun 29, 2025
- Last updated
- Jun 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ00183300 | NJ | Yes |
| 174400000X | Specialist | 26N007829700 | NJ |
Practice location
901 W Main St Bldg BFreehold, NJ 07728-2537
Phone 732-303-1616
Mailing address
882 Elton Adelphia RdFreehold, NJ 07728-8616
Phone 732-740-2357
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