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TANEISHA CHANEL ALVAREZ CRNA

Nursing Service Providers Registered Nurse Neonatal Intensive Care

Provider NPI: 1518442904

Provider Information:
 TANEISHA CHANEL ALVAREZ CRNA
Gender: F
Not Sole Proprietor

Practice Location:
1001 SAM PERRY BLVD  FREDERICKSBURG, VA 22401-4453 US
Tel: 540-741-7614  Fax: 540-741-7615

Business Mailing Address:
1001 SAM PERRY BLVD  FREDERICKSBURG, VA 22401-4453 US
Tel: 540-741-7614  Fax: 540-741-7615

NPI Information:
NPI: 1518442904
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N163WN0002XNursing Service Providers
Registered Nurse
Neonatal Intensive Care
VA1267553
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
VA14344804

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 367500000X

Type:

Classification:



Definition:



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