Individual
MRS. CAZ LOUISE SALVADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9507 HOSPITAL AVENUE, RIVERSIDE SHORE MEM HOSPITAL, NASSAWADOX, VA 23413-0017
(757) 414-8004
(703) 295-9369
Mailing address
3998 FAIR RIDGE DR, STE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024166987
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000023500
—
DE
01
—
CA5831
RAILROAD CARRIER
VA
Enumeration date
10/13/2006
Last updated
12/16/2014
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