NPI 1003815267

Gloria Gilbert Black, CRNA

Practitioner Certified Registered Nurse Anesthetist Fairfax, VA

Practice location

Address: 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709
Phone: (703) 295-9360
Fax: (703) 295-9369
Mailing address: PO Box 37090, Baltimore, MD 21297-3090

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 0024076529 (VA)

Other Nurse Anesthetist, Certified Registered providers in Virginia →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 0024076529 (VA)

Other Anesthesiology providers in Virginia →

Registry record

NPI: 1003815267
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2005
Record last updated: 21 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.