Healthcare Provider Details

I. General information

NPI: 1548178338
Provider Name (Legal Business Name): ELIZABET HASANAJ CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 BREMO RD
RICHMOND VA
23226-1900
US

IV. Provider business mailing address

1126 BELLE ISLE DR
UNION HALL VA
24176-4060
US

V. Phone/Fax

Practice location:
  • Phone: 804-285-2011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number159983
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: