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CAROL JUTRAS WADE CRNA NPI 1700809258


NPI Information

NPI: 1700809258
Provider Name: CAROL JUTRAS WADE, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Organization: GASTROINTESTINAL AND LIVER SPECIALISTS OF TIDEWATER PLLC Address:
1975 GLENN MITCHELL DR STE 300
VIRGINIA BEACH, VA
ZIP 23456
Phone: (757) 507-0170
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Carol Jutras Wade, CRNA is a nurse anesthetist certified registered in Virginia Beach, VA with 32 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Carol Jutras Wade, CRNA NPI is 1700809258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1975 GLENN MITCHELL DR STE 300
VIRGINIA BEACH, VA
ZIP 23456-167
Phone: (757) 507-0170

The enumeration date for this NPI number is 7/25/2006 and was last updated on 12/4/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified Registered0024093730VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R36297MEDICARE UPINVIRGINIA
2003899C57MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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