Individual
EILEEN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3600
(703) 391-3414
Mailing address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024117346
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710917919
—
VA
Enumeration date
07/03/2006
Last updated
06/20/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us