| Mark Mizuba, CRNA | |
|
1970 Roanoke Blvd, Salem, VA 24153-6404 | |
| (540) 982-2463 | |
| (540) 983-1090 |
| Full Name | Mark Mizuba |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1970 Roanoke Blvd, Salem, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164439899 | NPI | - | NPPES |
| 010218608 | Medicaid | VA | |
| 010218641 | Medicaid | VA | |
| 010218632 | Medicaid | VA | |
| 010218705 | Medicaid | VA | |
| 010218748 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024166707 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Mizuba, CRNA 1970 Roanoke Blvd, Salem, VA 24153-6404 Ph: (540) 982-2463 | Mark Mizuba, CRNA 1970 Roanoke Blvd, Salem, VA 24153-6404 Ph: (540) 982-2463 |
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 |