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Mary Moore, CRNA
Certified Registered Nurse Anesthetist in Big Stone Gap, Virginia
NPI 1912010166

Mary Moore is a Certified Registered Nurse Anesthetist based in Kingsport, VA. Mary Moore practices in Big Stone Gap, VA and has the professional credentials of CRNA. The NPI Number for Mary Moore is 1912010166 and holds a License No. 0024049167 (Virginia).

The current practice location address for Mary Moore is 1980 Holton Ave E, Big Stone Gap, VA and can be reached out via phone at 276-523-3111.

Location: 1980 Holton Ave E, Big Stone Gap, VA, 37660-4632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912010166
Provider Name
Mary Moore
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
1980 Holton Ave E, Big Stone Gap, VA, 37660-4632
Phone Number
276-523-3111
Fax Number
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
74012436 05 KY
institution
Provider Business Practice Location Address Details
Address
1980 Holton Ave E
City
Big Stone Gap
State
Virginia
Zip
24219-3366
Phone Number
276-523-3111
Fax Number
person
Provider Business Mailing Address Details
Address
1980 Holton Ave E
City
Big Stone Gap
State
Virginia
Zip
24219-3366
Phone Number
276-523-3111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
0024049167 (Virginia)
Definition
(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 credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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