Individual provider · Type 1 NPI

Mary Moore, CRNA

Certified Registered Nurse Anesthetist · Big Stone Gap, VA

NPI number 1912010166 Active

Practice location

1980 Holton Ave E
Big Stone Gap, VA 24219-3366

Mailing address

999 Executive Park Blvd, Suite 201
Kingsport, TN 37660-4632

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X0024049167 (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…

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About NPI 1912010166

Mary Moore, CRNA's National Provider Identifier is 1912010166, issued on Aug 15, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Big Stone Gap, VA. The record was last updated on Nov 29, 2007.