Individual
MICHELLE L MCHENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3300 GALLOWS ROAD, FALLS CHURCH, VA 22042-3307
(703) 776-3138
(703) 776-2623
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024166510
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487693339
—
VA
Enumeration date
06/06/2006
Last updated
11/08/2010
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