Mary E Koterba in Quincy - Nurse Anesthetist, Certified Registered
Mary E Koterba - NPI 1699754820
Mary E Koterba is a Nurse Anesthetist, Certified Registered in Quincy, Illinois. Mary E Koterba practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Mary E Koterba is 1699754820. The last update date is 2021-02-16.
Mary E Koterba's current location address is 1025 Maine St, Quincy, Illinois. You can contact this provider via phone number 2172226550. The mailing address for Mary E Koterba is 1025 Maine St, Quincy, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary E Koterba |
|---|---|
| Address | 1025 Maine St, Quincy, Illinois |
| Phone Number | 2172226550 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1699754820 |
|---|---|
| Provider Enumeration Date | 2006-01-16 |
| Last Updated Date | 2021-02-16 |
Provider Mailing Address Detail
| Address | 1025 Maine St |
|---|---|
| City | Quincy |
| State | Illinois (IL) |
| Post Code | 623014096 |
| Phone Number | 2172226550 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 118799 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4704351565 | MI | MI LICENSE | |
| 915820112 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary E Koterba by the Centers for Medicare & Medicaid Services?
The Mary E Koterba has been assigned the NPI (National Provider Identifier) 1699754820. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mary E Koterba's facilities are situated?
The facilities of Mary E Koterba are physically located at the following address: 1025 Maine St, Quincy, IL, 623014096.
What is Mary E Koterba's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary E Koterba is Nurse Anesthetist, Certified Registered, and the taxonomy code that categorizes this field of expertise is 367500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699754820 to Mary E Koterba?
The Centers for Medicare & Medicaid Services originally issued the 1699754820 to Mary E Koterba on 2006-01-16.
As of what date were the details related to Mary E Koterba most recently updated or revised?
The information pertaining to Mary E Koterba, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-16.