Individual provider · Type 1 NPI

Mark Mizuba, CRNA

Certified Registered Nurse Anesthetist · Roanoke, VA

NPI number 1164439899 Active

Practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Fax (540) 981-7855

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Other practice locations

  • 1970 Roanoke Blvd, Salem, VA 24153-6404 · (540) 982-2463

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X0024166707 (VA)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

1,119 other providers at this address

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About NPI 1164439899

Mark Mizuba, CRNA's National Provider Identifier is 1164439899, issued on Aug 2, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Roanoke, VA. The record was last updated on Dec 22, 2025.