Healthcare Provider Details

I. General information

NPI: 1295726974
Provider Name (Legal Business Name): ROBERT SPRINGER CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 LEE HWY N
PULASKI VA
24301-2326
US

IV. Provider business mailing address

965 ASHTON RD
VICTORIA VA
23974-2503
US

V. Phone/Fax

Practice location:
  • Phone: 540-994-8100
  • Fax: 540-994-8413
Mailing address:
  • Phone: 434-676-2970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9177342
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number0024054582
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001054582
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: