Individual
TERESA COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 668-3871
Mailing address
303 WINTERBERRY LN, SMITHFIELD, VA 23430-5643
(757) 365-0603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
24166536
VA
Other
Enumeration date
08/04/2006
Last updated
10/10/2007
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