Most Relevant Information
Provider Data
| NPI Number: | 1003031642 |
| Provider Name: | JENNIFER RENEE PEASE MORENO CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | R138988 |
Most Important Dates
| Enumeration Date: | 04/17/2007 |
| Last Updated: | 08/04/2017 |
Provider Practice Location
JHU 600 N WOLFE ST
DEPT ANESTHESIA CRITICAL CARE MEDICINE- BLALOCK 14TH FL
BALTIMORE
MD
212870001
Practice Location Phone/Fax
| Phone: | 4109554552 |
| Fax: |
Provider Mailing Location
600 NORTH WOLFE ST
BLALOCK BLDG 14TH FLOOR
BALTIMORE
MD
21287
Provider Mailing Phone/Fax
| Phone: | 4109555000 |
| Fax: |