Individual
MS. MARY TERESA DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249
(804) 675-5110
Mailing address
1228 WINDSOR AVE, RICHMOND, VA 23227-3743
(804) 262-1726
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
40342
VA
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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