Individual
JASON FIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
429 MILL STONE RD, CHESAPEAKE, VA 23322-4339
(757) 312-8121
Mailing address
214 VINE ST, MUNHALL, PA 15120-2215
(352) 672-7758
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024172277
VA
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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