Provider Demographics
NPI:1639168917
Name:SKERLEC-CAYLOR, DEBRA LYNNE (CRNA)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:LYNNE
Last Name:SKERLEC-CAYLOR
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 1:2050 ALLEN RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44460-1016
Mailing Address - Country:US
Mailing Address - Phone:330-332-2155
Mailing Address - Fax:330-332-2155
Practice Address - Street 1:2050 ALLEN RD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OH
Practice Address - Zip Code:44460-1016
Practice Address - Country:US
Practice Address - Phone:330-332-2155
Practice Address - Fax:330-332-2155
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-19
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 279963367500000X
OHNA 08131367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered