Individual
ROXANNE M DECKER
Active
Individual
ROXANNE M DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024165303
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2601221-000
MEDICAID WV
WV
01
—
276953
ANTHEM BCBS
VA
Enumeration date
06/14/2006
Last updated
07/09/2007
Update your record
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