Provider Demographics
NPI:1184221731
Name:POPELAS, KRISTINA LASKO (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:LASKO
Last Name:POPELAS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2395 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-4524
Mailing Address - Country:US
Mailing Address - Phone:440-487-8764
Mailing Address - Fax:
Practice Address - Street 1:2395 W 6TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-4524
Practice Address - Country:US
Practice Address - Phone:440-487-8764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CRNA.0020178367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered