| Jacquelyn Kavanaugh, CRNA | |
|
600 Gresham Dr, Norfolk, VA 23507-1904 | |
| (757) 668-3871 | |
| Not Available |
| Full Name | Jacquelyn Kavanaugh |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 600 Gresham Dr, Norfolk, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164430989 | NPI | - | NPPES |
| 009551590 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 24049818 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn Kavanaugh, CRNA 1221 Westover Ave Apt B, Norfolk, VA 23507-1360 Ph: (757) 652-9741 | Jacquelyn Kavanaugh, CRNA 600 Gresham Dr, Norfolk, VA 23507-1904 Ph: (757) 668-3871 |
Deborah K Midgett, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 | |
Louis C Devoles, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 | |
Steven L Cantarutti, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-3000 | |
John G Tyler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 | |
Teresa Cousins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-668-3871 | |
Jennifer D Mcclain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109 | |
Allen Mesick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-668-3871 |