Healthcare Provider Details

I. General information

NPI: 1447421466
Provider Name (Legal Business Name): SCOTT EDWARD COLTON CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2008
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 J CLYDE MORRIS BLVD
NEWPORT NEWS VA
23601-1929
US

IV. Provider business mailing address

PO BOX 79434
BALTIMORE MD
21279-0434
US

V. Phone/Fax

Practice location:
  • Phone: 757-591-2260
  • Fax: 757-595-2001
Mailing address:
  • Phone: 800-394-4445
  • Fax: 706-650-1034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024167715
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: