Individual
MR. BRENDAN SEAMUS AHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(919) 873-9533
(844) 454-0171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN637480
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024175800
VA
367500000X
Certified Registered Nurse Anesthetist
120745
PA
Other
Enumeration date
01/17/2018
Last updated
02/01/2018
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