Individual
MAILE LHERROU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 289-4937
(804) 565-6600
Mailing address
PO BOX 17978, RICHMOND, VA 23226-7978
(804) 289-4937
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024165108
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528069390
—
VA
01
—
P00434924
MEDICARE RAILROAD
VA
Enumeration date
08/03/2005
Last updated
07/21/2014
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