# SHERIDAN ANESTHESIA SERVICES OF VIRGINIA, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902109465
- **Authorized official:** KAREN VAUGHN (OFFICER)
- **Authorized official phone:** (954) 838-2371

## Contact information

- **Practice address:** 2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
- **Practice address phone:** (703) 670-1313
- **Mailing address:** PO BOX 744580, ATLANTA, GA 30374-4580
- **Mailing address phone:** (954) 838-2371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 12/06/2010
- **Last updated:** 05/19/2023