Individual
SHEILA JANICE PEDDREW
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
20201 CENTURY BLVD, CHEVY CHASE ANESTHESIA LLC SUITE 480, GERMANTOWN, MD 20874-1113
(301) 515-4222
(301) 515-4153
Mailing address
8013 REMINGTON AVE, WINDSOR MILL, MD 21244-2153
(410) 336-4335
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R039580
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54170008
BCBS DC
DC
01
—
61389603KBCICH
BCBS MD
MD
01
—
P00139387
RR MEDICARE
MD
Enumeration date
12/02/2005
Last updated
02/04/2019
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