Individual
DEBORAH A. FENYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3914 CENTREVILLE RD, STE 350, CHANTILLY, VA 20151-3289
(703) 956-6831
Mailing address
6094 14TH ST W, STE 168, BRADENTON, FL 34207-4104
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024081341
VA
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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