Individual
MRS. TERRY LEA YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1906 BELLEVIEW AVE SE, FOURTH FLOOR, DEPT. OF ANESTHESIA, ROANOKE, VA 24014-1838
(540) 853-0222
Mailing address
1211 CEDAR CREST DRIVE, BEDFORD, VA 24523
(540) 586-7312
(540) 586-6833
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024117302
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010201691
—
VA
Enumeration date
05/02/2006
Last updated
11/01/2008
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