Individual
AMY L. HARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10800 MIDLOTHIAN TPKE, SUITE 265, NORTH CHESTERFIELD, VA 23235-4724
(804) 594-2622
(804) 594-0915
Mailing address
1401 JOHNSTON WILLIS DR, NORTH CHESTERFIELD, VA 23235-4730
(804) 483-0745
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0001185797
VA
Other
Enumeration date
01/25/2012
Last updated
01/17/2023
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