| Elena Bocola-mavar, | |
| 
					7500 Ivy Ln, Canfield, OH 44406-9714  | |
| (330) 207-6885 | |
| Not Available | 
| Full Name | Elena Bocola-mavar | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 7500 Ivy Ln, Canfield, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023688108 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.456307 (Ohio) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 148071 (Ohio) | Primary | 
| Entity Name | Campbell County Hospital District | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710098868 PECOS PAC ID: 2860392529 Enrollment ID: O20040206000510  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Elena Bocola-mavar, Po Box 483, Canfield, OH 44406-0483 Ph: (330) 207-6885  | Elena Bocola-mavar, 7500 Ivy Ln, Canfield, OH 44406-9714 Ph: (330) 207-6885  | 
Mr. Robert Daniluk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4135 Boardman Canfield Rd Ste 101, Canfield, OH 44406 Phone: 330-286-5330  | |
Sandra L Marin-reay, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 53 Neff Dr, Canfield, OH 44406 Phone: 330-533-4405 Fax: 330-533-4405  | |
Josephine J Jarbeck, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4147 Westford Dr, Canfield, OH 44406 Phone: 330-286-5330 Fax: 330-286-5396  | |
Candia S Zlenka, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4147 Westford Dr, Canfield, OH 44406 Phone: 330-702-1489 Fax: 330-702-1545  | |
Mr. Shane Lawrence Pelanda, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4135 Boardman Canfield Rd, Suite 101, Canfield, OH 44406 Phone: 330-286-5330 Fax: 330-286-5396  |