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NPI Code Detail

MEDICARE: SUSAN MURRELL CRNA

MEDICARE: SUSAN MURRELL 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
1367500000XCertified Registered Nurse Anesthetist2832CA
2367500000XCertified Registered Nurse Anesthetist0024165003VA

General Provider Information

NPI Number : 1124043542
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN MURRELL CRNA
Provider Business Mailing Address
First Line : 837 SALTMEADOW BAY ARCH
Second Line : UNIT 212
City : VIRGINIA BEACH
State : VA
Zip : 23451-6391
Country : US
Telephone Number : 757-708-8557
Fax Number :
Provider Business Practice Location Address
First Line : 2025 GLENN MITCHELL DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23456-0178
Country : US
Telephone Number : 757-507-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 08/09/2012

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Directions to “ SUSAN MURRELL CRNA” Practice Location

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