Individual provider · Type 1 NPI

Mary Ann Licwinko, CRNA

Certified Registered Nurse Anesthetist · Philadelphia, PA

NPI number 1295768307 Active

Practice location

8835 Germantown Ave
Philadelphia, PA 19118-2718

Mailing address

68 S Service Rd, Suite 350
Melville, NY 11747-2358

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X187701L (PA)

Certified Registered Nurse Anesthetist: (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 resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1295768307

Mary Ann Licwinko, CRNA's National Provider Identifier is 1295768307, issued on Jul 9, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 25, 2015.