Individual
MICHAEL HUNTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
75 STONEVIEW CIR, LEXINGTON, VA 24450-3911
(540) 463-4077
Mailing address
75 STONEVIEW CIR, LEXINGTON, VA 24450-3911
(540) 463-4077
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024168067
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168204902
—
TX
01
—
84678U
BCBSTX
TX
Enumeration date
05/04/2006
Last updated
11/09/2010
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