Provider Demographics
NPI:1154658094
Name:DEEL, CHRISTOPHER DARRELL (RN, CRNA)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:DARRELL
Last Name:DEEL
Suffix:
Gender:M
Credentials:RN, CRNA
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Mailing Address - Street 1:213 S JEFFERSON ST
Mailing Address - Street 2:SUITE 625
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24011-1700
Mailing Address - Country:US
Mailing Address - Phone:540-224-5688
Mailing Address - Fax:540-224-5684
Practice Address - Street 1:2900 LAMB CIR
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-6344
Practice Address - Country:US
Practice Address - Phone:540-731-2800
Practice Address - Fax:540-731-2874
Is Sole Proprietor?:No
Enumeration Date:2009-11-13
Last Update Date:2010-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024168621367500000X
VA0001162087163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse