Organization
BON SECOURS DEPAUL MEDICAL CENTER CRNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY GILBERTSON (CPC)
(757) 889-5109
Entity
Organization
Contact information
Practice address
150 KINGSLEY LN, NORFOLK, VA 23505-4602
(757) 889-5109
(757) 889-2550
Mailing address
PO BOX, ATLANTA, GA 30384-8424
(757) 889-5109
(757) 889-2550
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
01/29/2008
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