Individual
MRS. AGNES S BOTHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1250 E MARSHALL ST, ANESTHESIOLOGY CRNA, RICHMOND, VA 23298-5051
(804) 628-6990
(804) 628-6932
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024167260
VA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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