Provider Demographics
NPI:1326413758
Name:FALLS, SLAVKA B (CRNA)
Entity Type:Individual
Prefix:
First Name:SLAVKA
Middle Name:B
Last Name:FALLS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:SLAVKA
Other - Middle Name:
Other - Last Name:BALAZOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:220 CAMPUS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2896
Mailing Address - Country:US
Mailing Address - Phone:540-536-5100
Mailing Address - Fax:
Practice Address - Street 1:878 FOX DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22603-8613
Practice Address - Country:US
Practice Address - Phone:540-662-8336
Practice Address - Fax:540-662-8593
Is Sole Proprietor?:No
Enumeration Date:2015-12-10
Last Update Date:2021-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024173235367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered