Individual
MISS ANGELICA CRUZ MATNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
44045 RIVERSIDE PKWY, LEESBURG, VA 20176-5101
(703) 858-6000
(703) 776-2623
Mailing address
3100 SPRING FOREST RD STE 130, RALEIGH, NC 27616-2880
(888) 280-9533
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024168417
VA
367500000X
Certified Registered Nurse Anesthetist
R53490
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538306311
—
VA
05
—
418484000
—
MD
Enumeration date
01/15/2009
Last updated
03/17/2014
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