Individual
MR. STEPHEN EDWARD WERESZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2501 PARKERS LANE, ANESTHESIA DEPT,, ALEXANDRIA, VA 22306
(703) 664-7048
(703) 664-7375
Mailing address
3998 FAIR RIDGE DRIVE SUITE 300, NAPA CORPORATE OFFICE, FAIRFAX, VA 22033
(703) 293-9590
(703) 293-9592
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024123260
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139698
TRIGON
VA
05
—
1407941669
—
VA
01
—
484645
NCPPO
VA
01
—
K142-0002
CARE FIRST 2005
VA
Enumeration date
10/04/2006
Last updated
02/27/2015
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