Individual
MARY ELIZABETH MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4941
(757) 312-8121
Mailing address
312 GAINSBOROUGH SQ, CHESAPEAKE, VA 23320-4990
(703) 409-8590
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024175767
VA
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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