Individual
JOAN S SPEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11240 WAPLES MILL RD STE 403, FAIRFAX, VA 22030-6078
(703) 246-8080
Mailing address
3061 RAILROAD VINE CT, FAIRFAX, VA 22031-1018
(703) 938-4816
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0001050430
VA
Other
Enumeration date
06/22/2006
Last updated
07/08/2007
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