Provider Demographics
NPI:1821392887
Name:CERATO, KARIANE TERESA (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:KARIANE
Middle Name:TERESA
Last Name:CERATO
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:KARIANE
Other - Middle Name:TERESA
Other - Last Name:COMBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:13719 LONGS LANDING RD W
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-5423
Mailing Address - Country:US
Mailing Address - Phone:352-226-5981
Mailing Address - Fax:
Practice Address - Street 1:13719 LONGS LANDING RD W
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-5423
Practice Address - Country:US
Practice Address - Phone:352-226-5981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-05
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9186406163W00000X
FLARNP9186406367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse