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Individual

KAREN HITESMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1970 ROANOKE BLVD, SALEM, VA 24153
(540) 982-2463
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024158114
VA
367500000X
Certified Registered Nurse Anesthetist
050003-23-11
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1008972
VT
01
40Y003915NH01
BLUE CROSS BLUE SHIELD
NH
01
5414112
CIGNA HEALTHCARE
NH
01
59020
BLUE CROSS BLUE SHIELD
VT
05
80300008
NH
01
S43604
HARVARD PILGRIM HEALTHCAR
NH
Enumeration date
06/09/2006
Last updated
11/02/2011
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