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Individual

SHIELA KAYE CHUA CRISOSTOMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3916 GOSNOLD AVE, NORFOLK, VA 23508-2916
(813) 992-8029
Mailing address
3916 GOSNOLD AVE, NORFOLK, VA 23508-2916
(813) 992-8029

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024180700
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
NP0253
GU
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/28/2020
Last updated
02/03/2026
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