Individual
MR. THOMAS E VIETEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(703) 509-3406
Mailing address
6015 CRAYFISH CT, BRYANTOWN, MD 20617-2131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
139594
VA
367500000X
Certified Registered Nurse Anesthetist
AC004879
MD
Other
Enumeration date
08/08/2022
Last updated
08/21/2025
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