Individual
DEBRA LYNN MCRAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
180 FLOYD AVE, ROCKY MOUNT, VA 24151-1318
(540) 489-6353
(540) 484-8552
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5705
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024189984
VA
367500000X
Certified Registered Nurse Anesthetist
209004893
IL
367500000X
Certified Registered Nurse Anesthetist
APN.0100026-CRNA
CO
367500000X
Certified Registered Nurse Anesthetist
NUR-APRN-LIC-127290
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136647500
—
WY
05
—
21772762
—
CO
01
—
P01267090
RR MEDICARE
CO
Enumeration date
10/04/2006
Last updated
06/06/2024
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