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NPI Code Detail

MEDICARE: SUSAN COBLE CRNA

MEDICARE: SUSAN COBLE CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse0001153716VA
2367500000XCertified Registered Nurse Anesthetist0024174588VA

General Provider Information

NPI Number : 1023553427
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN COBLE CRNA
Provider Business Mailing Address
First Line : 1602 SKIPWITH RD
Second Line :
City : RICHMOND
State : VA
Zip : 23229-5205
Country : US
Telephone Number : 804-289-4937
Fax Number :
Provider Business Practice Location Address
First Line : 1602 SKIPWITH RD
Second Line :
City : RICHMOND
State : VA
Zip : 23229-5205
Country : US
Telephone Number : 804-289-4937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2016
Last Update Date : 03/09/2026

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Directions to “ SUSAN COBLE CRNA” Practice Location

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