Provider Demographics
NPI:1538124565
Name:PERIN, FRANK LEROY (CRNA)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:LEROY
Last Name:PERIN
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1369 BRIARMEADOW DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-1612
Mailing Address - Country:US
Mailing Address - Phone:614-915-4681
Mailing Address - Fax:
Practice Address - Street 1:1369 BRIARMEADOW DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-1612
Practice Address - Country:US
Practice Address - Phone:614-915-4681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNA02049367500000X
OHRN1171430367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered