Peter Deforest, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Roanoke, VA

NPI

1811953151

Type

Individual (Type 1)

Primary specialty

Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367500000X

License number

0024-161021 (VA)

Sex

Male

Sole proprietor

No

Enumerated

2006-04-25

Last updated

2008-05-06