Organization
BEYENE YOSIEF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEYENE LUCUS YOSIEF (CRNA)
(757) 368-7557
Entity
Organization
Contact information
Practice address
844 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4802
(757) 312-6800
Mailing address
2904 HOLM OAK CT, VIRGINIA BEACH, VA 23453-2937
(757) 368-7557
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1095144
VA
367500000X
Certified Registered Nurse Anesthetist
0024095144
VA
367500000X
Certified Registered Nurse Anesthetist
36698
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010162548
—
VA
Enumeration date
10/04/2006
Last updated
09/09/2008
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