Healthcare Provider Details

I. General information

NPI: 1336128446
Provider Name (Legal Business Name): ALLYSON LYN COREY CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLYSON LYN AHRENS-DAY CRNA

II. Dates (important events)

Enumeration Date: 01/17/2006
Last Update Date: 05/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 KINGSLEY LN
NORFOLK VA
23505-4602
US

IV. Provider business mailing address

28578 MARYS CT STE 4
EASTON MD
21601-7436
US

V. Phone/Fax

Practice location:
  • Phone: 757-889-5000
  • Fax: 410-819-0712
Mailing address:
  • Phone: 800-222-1335
  • Fax: 410-819-0712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024168093
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: