Individual
GUDRUN SYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 LAMB CIR, CHRISTIANSBURG, VA 24073-6344
(540) 731-2802
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
696984
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
0024191982
VA
367500000X
Certified Registered Nurse Anesthetist
AP118006
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205102101
—
TX
01
—
8357UU
BCBS
TX
01
—
P00784940
MEDICARE RAILROAD
TX
Enumeration date
02/17/2009
Last updated
01/08/2025
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