Individual
MS. MYRA K BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3300 GALLOWS RD, AMERICAN ANESTHESIOLOGY OF VIRGINIA, PC, FALLS CHURCH, VA 22042-3307
(703) 776-3138
(571) 209-6465
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0001104424
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024104424
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014979900
—
MD
05
—
1548279417
—
VA
Enumeration date
08/07/2006
Last updated
11/04/2016
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