Katreen Khalaf Tanner, CRNA | |
3535 Southern Blvd, Kettering, OH 45429-1221 | |
(937) 293-8228 | |
(937) 293-8229 |
Full Name | Katreen Khalaf Tanner |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3535 Southern Blvd, Kettering, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790961209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN-286430 (Ohio) | Primary |
Entity Name | Eagle Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891151478 PECOS PAC ID: 5092083998 Enrollment ID: O20170619000733 |
Mailing Address | Practice Location Address |
---|---|
Katreen Khalaf Tanner, CRNA 3533 Southern Blvd, Suite 3100, Kettering, OH 45429-1264 Ph: (937) 293-8228 | Katreen Khalaf Tanner, CRNA 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 293-8228 |
Timberly Deann Harvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Brittney A Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Christopher A Murray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Mr. Patrick Bendel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Karen Vukin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Vicki S Dursch, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 | |
Jolynn K Harmon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-293-8228 Fax: 937-293-8229 |