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Individual
VICTORIA LEIGH EADS
Active
Individual
VICTORIA LEIGH EADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
RNA243045
ME
367500000X
Certified Registered Nurse Anesthetist
Primary
0024182849
VA
367500000X
Certified Registered Nurse Anesthetist
AP131681
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361796101
—
TX
01
—
8451UN
BCBS
TX
01
—
P01716299
RR MEDICARE
TX
Enumeration date
08/12/2016
Last updated
11/18/2024
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