Individual
MARY C NIEDERLEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 529-6083
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001249950
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024178800
VA
Other
Enumeration date
01/06/2020
Last updated
04/17/2020
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