Individual
MR. EDWARD TEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2750 GODWIN BLVD, SUFFOLK, VA 23434-8036
(757) 983-2010
(757) 983-2001
Mailing address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001300998
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024181129
VA
367500000X
Certified Registered Nurse Anesthetist
105555
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050431
—
NC
Enumeration date
08/18/2006
Last updated
10/06/2021
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