Individual
CAROL JUTRAS WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1975 GLENN MITCHELL DR STE 300, VIRGINIA BEACH, VA 23456-0167
(757) 507-0170
Mailing address
324 DOWNING DR, CHESAPEAKE, VA 23322-8702
(757) 482-4519
(757) 482-4519
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024093730
VA
Other
Enumeration date
07/25/2006
Last updated
12/04/2011
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