Individual
ANGELA L SEVERANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8000
(540) 536-7780
Mailing address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8000
(540) 536-7681
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024167182
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810008407
—
WV
Enumeration date
12/06/2006
Last updated
04/10/2021
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