Individual
MRS. SUSAN ANN MACLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320-4941
(757) 312-3000
Mailing address
5224 LOWERY DOWNS, VIRGINIA BEACH, VA 23464-5616
(757) 216-9913
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024166870
VA
367500000X
Certified Registered Nurse Anesthetist
RN221172L
PA
Other
Enumeration date
05/30/2005
Last updated
08/26/2008
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