Mary Kay Bickmann, CRNA
Nurse Anesthetist, Certified Registered in Leesburg, VA. Individual provider (NPI-1).
NPI number1366418394
StatusActive
Last updated in NPPESDec 5, 2013
Details
- NPI
- 1366418394
- Entity type
- Individual (NPI-1)
- Name
- Mary Kay Bickmann
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2006
- Last updated
- Dec 5, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024170746 | VA | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704153665 | MI |
Practice location
44045 Riverside PkwyLeesburg, VA 20176-5101
Phone 703-858-6000
Mailing address
3100 Spring Forest RdSuite 130
Raleigh, NC 27616-2880
Phone 919-882-0705 · Fax 919-873-9821
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