Healthcare Provider Details

I. General information

NPI: 1194116145
Provider Name (Legal Business Name): LORRAINE JASMINE ANTHONY MCDONALD CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORRAINE ANTHONY CRNA

II. Dates (important events)

Enumeration Date: 02/12/2015
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 GOLDSBORO RD SUITE 400
BETHESDA MD
20817-5826
US

IV. Provider business mailing address

6400 GOLDSBORO RD SUITE 400
BETHESDA MD
20817-5826
US

V. Phone/Fax

Practice location:
  • Phone: 301-263-0800
  • Fax: 301-263-0820
Mailing address:
  • Phone: 301-263-0800
  • Fax: 301-263-0820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024172346
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR171857
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: