Individual
VICTORIA S BERHALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
71480 SHANNON DR, MARTINS FERRY, OH 43935-2333
(740) 633-5211
Mailing address
412 27TH AVE N APT B, MYRTLE BEACH, SC 29577-3070
(843) 444-4007
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
187249
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051898
—
NC
Enumeration date
05/11/2006
Last updated
07/08/2007
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