Tamera Larsen, CRNA | |
100 Emancipation Dr, Hampton, VA 23667-0001 | |
(757) 639-3484 | |
Not Available |
Full Name | Tamera Larsen |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 100 Emancipation Dr, Hampton, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790055721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0001191074 (Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0024173452 (Virginia) | Primary |
Entity Name | Smg Anesthesia Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518205004 PECOS PAC ID: 6305081118 Enrollment ID: O20130327000494 |
Entity Name | Capital Digestive Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992752521 PECOS PAC ID: 3870669419 Enrollment ID: O20211124000446 |
Mailing Address | Practice Location Address |
---|---|
Tamera Larsen, CRNA 100 Emancipation Dr, Hampton, VA 23667-0001 Ph: (757) 639-3484 | Tamera Larsen, CRNA 100 Emancipation Dr, Hampton, VA 23667-0001 Ph: (757) 639-3484 |
David Chester Vonrump, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 Coliseum Dr, Hampton, VA 23666 Phone: 757-736-1000 | |
Mrs. Laura G Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr, Hampton, VA 23666 Phone: 757-736-1000 | |
Robert Ashford Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr, Hampton, VA 23666 Phone: 757-736-3498 | |
Yvette Ansumana, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 77 Nealy Ave, Hampton, VA 23665 Phone: 757-225-6449 | |
Joseph Anthony Yungbluth, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 113 Signature Way, Hampton, VA 23666 Phone: 757-723-3549 | |
Dr. Shannon Nunnery, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 77 Nealy Ave, Hampton, VA 23665 Phone: 425-345-0787 | |
Barbara Hite, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 335 Green Spring Ct, Hampton, VA 23669 Phone: 757-851-8169 |