Individual
MR. CHAD MATTHEW DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-3238
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-3238
(757) 953-0871
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024167972
VA
367500000X
Certified Registered Nurse Anesthetist
187161
NC
367500000X
Certified Registered Nurse Anesthetist
24167972
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051991
—
NC
05
—
NAN675
—
SC
Enumeration date
06/23/2006
Last updated
03/13/2024
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