Individual
JUDY IKIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2900 LAMB CIR, CHRISTIANSBURG, VA 24073-6344
(540) 731-2800
Mailing address
612 HENSON AVE, PEARISBURG, VA 24134-1703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001-168014
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024-164230
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8944636
—
VA
05
—
8944644
—
VA
05
—
8944652
—
VA
05
—
8944661
—
VA
05
—
8944679
—
VA
Enumeration date
08/31/2006
Last updated
05/05/2008
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