| Jennifer E Dehaven, CRNA | |
| 
					1900 Electric Rd, Salem, VA 24153-7474  | |
| (540) 776-4100 | |
| Not Available | 
| Full Name | Jennifer E Dehaven | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 1900 Electric Rd, Salem, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336487115 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001218765 (Virginia) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 0024170649 (Virginia) | Primary | 
| Entity Name | Valley Anesthesia Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1275587115 PECOS PAC ID: 7416851597 Enrollment ID: O20031120000746  | 
| Entity Name | Anesthesia Care Services Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609833474 PECOS PAC ID: 7012937105 Enrollment ID: O20051205000389  | 
| Entity Name | Blue Ridge Anesthesia Associates Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1346410727 PECOS PAC ID: 1355411372 Enrollment ID: O20080603000536  | 
| Entity Name | California Anesthesia Network Nursing Services, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699067371 PECOS PAC ID: 0547447732 Enrollment ID: O20120418000094  | 
| Entity Name | Surgery Center Anesthesia Providers Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073807376 PECOS PAC ID: 5395923700 Enrollment ID: O20190516002751  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jennifer E Dehaven, CRNA Po Box 13888, Roanoke, VA 24038-3888 Ph: () -  | Jennifer E Dehaven, CRNA 1900 Electric Rd, Salem, VA 24153-7474 Ph: (540) 776-4100  | 
Kristin Mirenda, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-493-4581  | |
Maria D Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Anesthesia Department, Salem, VA 24153 Phone: 540-776-4000  | |
Whitney Bateman Linse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd., Anesthesia Department, Salem, VA 24153 Phone: 540-266-9306  | |
Victoria Ballantyne, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 438 W Main St, Salem, VA 24153 Phone: 540-378-5276  | |
Kathryn B Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-493-4581 Fax: 770-237-1727  | |
Barbara Weiserbs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3600 Fax: 540-725-4543  | |
Gregory K Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Anesthesia Department, Salem, VA 24153 Phone: 866-224-2413  |