Organization
TIDEWATER ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA FAISON EDWARDS CRNA (PRESIDENT)
(757) 403-6728
Entity
Organization
Contact information
Practice address
1200 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-2207
(888) 209-0305
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(888) 209-0305
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
05/20/2020
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