Individual
FELICE PERRY PETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2921
(703) 766-9737
Mailing address
PO BOX 37090, BALTIMORE, MD 21297-3090
(703) 295-9360
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
051811
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861500225
—
VA
01
—
430057833
RAILROAD MEDICARE
NC
05
—
8051347
—
NC
01
—
P00603493
RAILROAD MEDICARE
NC
Enumeration date
08/27/2006
Last updated
02/17/2015
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