Individual
INDRA A TUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 289-4937
(804) 565-6600
Mailing address
1504 SANTA ROSA RD RM 206, RICHMOND, VA 23229-5109
(804) 288-4453
(804) 288-1621
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024169802
VA
367500000X
Certified Registered Nurse Anesthetist
290008320
IL
Other
Enumeration date
09/10/2010
Last updated
02/13/2012
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