Provider Demographics
NPI:1972523694
Name:BLACKWOOD, JANET ADLER (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:ADLER
Last Name:BLACKWOOD
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3411 KILBURN CIR
Mailing Address - Street 2:APT 212
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1091
Mailing Address - Country:US
Mailing Address - Phone:757-619-3071
Mailing Address - Fax:
Practice Address - Street 1:UVA MAIN HOSPITAL
Practice Address - Street 2:1215 LEE STREET
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0001
Practice Address - Country:US
Practice Address - Phone:434-924-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001147864367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered