Individual
MARSC DANIELLE MERTILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2000
Mailing address
PO BOX 650823, DEPT 42053, DALLAS, TX 75265-0823
(855) 338-1409
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024192258
VA
367500000X
Certified Registered Nurse Anesthetist
1044574
TX
Other
Enumeration date
05/25/2021
Last updated
01/27/2025
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