Audrey Lynn Balicki, CRNA
Nurse Anesthetist, Certified Registered in Leesburg, VA. Individual provider (NPI-1).
NPI number1174239461
StatusActive
Last updated in NPPESApr 3, 2026
Details
- NPI
- 1174239461
- Entity type
- Individual (NPI-1)
- Name
- Audrey Lynn Balicki
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2023
- Certification date
- Apr 3, 2026
- Last updated
- Apr 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024196013 | VA | Yes |
Practice location
44045 Riverside PkwyLeesburg, VA 20176-5101
Phone 703-858-6490 · Fax 571-291-9263
Mailing address
17 Running Brook LnSterling, VA 20164-1167
Phone 248-881-6828
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