MEDICARE: MICHAEL G. BISCAN 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
1	367500000X	Certified Registered Nurse Anesthetist	0024167282	VA

General Provider Information

NPI Number	:	1912021270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL G. BISCAN CRNA

Provider Business Mailing Address
First Line	:	3998 FAIR RIDGE DR STE 300
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22033-2907
Country	:	US
Telephone Number	:	703-295-9360
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 COLISEUM DR
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-5963
Country	:	US
Telephone Number	:	757-736-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	02/12/2026

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