Individual
JUNETTE VACLAVIK ANDREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11848 ROCK LANDING DR, NEWPORT NEWS, VA 23606-4425
(757) 591-2260
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024077459
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609830694
—
VA
Enumeration date
04/14/2006
Last updated
03/03/2015
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