Provider Demographics
NPI:1922016716
Name:JOHNSON-BUNN, SHARON LUCILLE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LUCILLE
Last Name:JOHNSON-BUNN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:LUCY
Other - Middle Name:
Other - Last Name:BUNN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNA
Mailing Address - Street 1:517 W OCEAN VIEW AVE APT B
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23503-1459
Mailing Address - Country:US
Mailing Address - Phone:540-247-1610
Mailing Address - Fax:
Practice Address - Street 1:134 BUSINESS PARK DR
Practice Address - Street 2:ATLANTIC ANESTHESIA INC.
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6523
Practice Address - Country:US
Practice Address - Phone:757-473-0044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024106836367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered