Healthcare Provider Details

I. General information

NPI: 1174584734
Provider Name (Legal Business Name): LINDA ELLEN FERRO CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 INDEPENDENCE PKWY STE 120
CHESAPEAKE VA
23320-5114
US

IV. Provider business mailing address

1206 CAPTAIN ADAMS CT
VIRGINIA BEACH VA
23455-4902
US

V. Phone/Fax

Practice location:
  • Phone: 757-547-0798
  • Fax: 757-547-0145
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024083078
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: