Healthcare Provider Details

I. General information

NPI: 1326002320
Provider Name (Legal Business Name): BRIANA EXLEY CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIANA MESEROLL CRNA

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 09/24/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 GLEN ROCK RD SUITE 200
NORFOLK VA
23502
US

IV. Provider business mailing address

804 GLEN ROCK RD SUITE 200
NORFOLK VA
23502
US

V. Phone/Fax

Practice location:
  • Phone: 757-252-3147
  • Fax:
Mailing address:
  • Phone: 757-252-3147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024166426
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001209031
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: