NPI 1003823733

Timothy Kostura, CRNA

Practitioner Certified Registered Nurse Anesthetist Roanoke, VA

Practice location

Address: 1906 Belleview Ave SE, Roanoke, VA 24014-1838
Phone: (540) 981-7000
Mailing address: 3026 Tree Top Ln, Roanoke, VA 24018-4851

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 0024-089932 (VA)

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Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 0001-089932 (VA)

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Registry record

NPI: 1003823733
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Aug 2006
Record last updated: 5 May 2008

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.