Individual
MICHELLE MARIE GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3700 S MAIN ST, ANESTHESIA, BLACKSBURG, VA 24060-7017
(540) 953-5374
Mailing address
PO BOX 13888, ROANOKE, VA 24038-3888
(540) 953-5374
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024166787
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841387610
—
VA
Enumeration date
10/05/2006
Last updated
02/10/2011
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