MISTY DAWN AUDETTE

ROANOKE, VA
NPI1043631245
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0024179120)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  ARNP9246192)
367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  RN9246192)
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  27809)
Enumeration Date2013-12-16
Last Update Date2025-12-22
Business Address
MISTY DAWN AUDETTE CRNA
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-853-0222
Mailing Address
MISTY DAWN AUDETTE CRNA
213 S JEFFERSON ST STE 1006
ROANOKE, VA 24011-1713
Phone number: