Individual
LOUIS GEORGE PATNODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
120 KINGS WAY, STUITE 1500, WILLIAMSBURG, VA 23185-2505
(703) 674-9041
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024090683
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225092240
—
VA
Enumeration date
04/14/2006
Last updated
03/26/2015
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