GENNIE LOU TUCKER

WINCHESTER, VA
NPI1225206519
Former NameGENNIE L FARRAGHER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0024174010)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-061334)
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  APN15760)
367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  RN181133)
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  280661)
367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  20621)
Enumeration Date2008-02-20
Last Update Date2020-02-07
Business Address
GENNIE LOU TUCKER CRNA
1840 AMHERST ST
WINCHESTER, VA 22601-2808
Phone number: 540-536-8000
Mailing Address
GENNIE LOU TUCKER CRNA
220 CAMPUS BLVD STE 100
WINCHESTER, VA 22601-2888
Phone number: 540-536-5100