Basic Information
Provider Information
NPI: 1316046923
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURAWSKI
FirstName: ANN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: C.N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4235 SECOR RD
Address2:  
City: TOLEDO
State: OH
PostalCode: 436234231
CountryCode: US
TelephoneNumber: 4194733561
FaxNumber:  
Practice Location
Address1: 5085 MONROE ST
Address2:  
City: TOLEDO
State: OH
PostalCode: 436233455
CountryCode: US
TelephoneNumber: 4194795777
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/21/2006
LastUpdateDate: 04/12/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XAPRN.CNP.02893OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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