Individual
BRAD STEVEN TIEFEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9304 ASHWOOD CT, TOANO, VA 23168-9456
(757) 912-6525
Mailing address
9304 ASHWOOD CT, TOANO, VA 23168-9456
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
001260984
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024189254
VA
Other
Enumeration date
03/22/2023
Last updated
03/12/2024
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