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NPI Code Detail

MEDICARE: MS. CONNIE W FU CRNA

MEDICARE: MS. CONNIE W FU CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist0024175711VA
2367500000XCertified Registered Nurse Anesthetist1150370TX

General Provider Information

NPI Number : 1386152890
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CONNIE W FU CRNA
Provider Business Mailing Address
First Line : 10614 OAK PL
Second Line :
City : FAIRFAX
State : VA
Zip : 22030-2816
Country : US
Telephone Number : 917-837-2703
Fax Number :
Provider Business Practice Location Address
First Line : 1001 SAM PERRY BLVD
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22401-4453
Country : US
Telephone Number : 540-741-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2018
Last Update Date : 03/03/2026

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