Individual
TIEYA WHITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(703) 523-2075
Mailing address
3100 SPRING FOREST ROAD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0774
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024171478
VA
Other
Enumeration date
02/03/2014
Last updated
07/26/2023
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