Individual
LOUISE E HERSHKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-2921
(703) 391-3129
Mailing address
3998 FAIR RIDGE DR, STE 300, FAIRFAX, VA 22033-2907
(703) 766-9737
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024066852
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010202035
—
VA
05
—
010242444
—
VA
05
—
010242461
—
VA
05
—
1205879178
—
VA
01
—
139180
TRIGON
VA
01
—
484645
NCPPO
VA
01
—
K142-0002
CARE FIRST 2005
VA
Enumeration date
06/14/2006
Last updated
04/28/2015
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