Individual
MS. DIANE THERESA HUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
161 ALGONQUIN RD., HAMPTON, VA 23661-3402
(757) 325-8393
Mailing address
161 ALGONQUIN RD., HAMPTON, VA 23661-3402
(757) 325-8393
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024168557
VA
367500000X
Certified Registered Nurse Anesthetist
2264
CA
367500000X
Certified Registered Nurse Anesthetist
587291
TX
Other
Enumeration date
03/29/2006
Last updated
05/30/2012
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