Basic Information
Provider Information
NPI: 1528646684
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARCE
FirstName: MONICA
MiddleName: EMILIA
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2598 TOWNSHIP ROAD 162
Address2:  
City: CARDINGTON
State: OH
PostalCode: 433159388
CountryCode: US
TelephoneNumber: 7403417100
FaxNumber:  
Practice Location
Address1: 100 MEDICAL CENTER DR
Address2:  
City: SPRINGFIELD
State: OH
PostalCode: 455042687
CountryCode: US
TelephoneNumber: 9375231000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/31/2021
LastUpdateDate: 06/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000XAPRN.CRNA.0020312OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 
163W00000XRN.3911871OHN Nursing Service ProvidersRegistered Nurse 

No ID Information.


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