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Individual

DR. ANNE P COUSINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNPA, CRNA

Contact information

Practice address
3221 BERGEN ST, CHARLOTTESVILLE, VA 22902-6249
(870) 535-7457
(870) 535-2522
Mailing address
3221 BERGEN ST, CHARLOTTESVILLE, VA 22902-6249
(479) 430-4080

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9322361
FL
163W00000X
Registered Nurse
R092738
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
0024176530
VA
367500000X
Certified Registered Nurse Anesthetist
61353
NM
367500000X
Certified Registered Nurse Anesthetist
C002954
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063750354
AR
05
205201001
AR
01
5AH34
BLUE CROSS BLUE SHIELD
AR
01
P01475050
RAILROAD MEDICARE
AR
Enumeration date
01/22/2013
Last updated
10/23/2020
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