Bacon, Marianne Ranere

Bacon, Marianne Ranere is an individual health care provider with primary practice located at 44045 Riverside Pkwy , Leesburg VA 20176-5101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bacon, Marianne Ranere can be contacted via phone (703) 858-6000.

Contact Information

Primary practice address
44045 Riverside Pkwy Leesburg VA 20176-5101
Phone: (703) 858-6000
Fax: (571) 209-6465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024118239 Virginia

Profile Details

NPI number 1962439554
LBN Legal business name Bacon, Marianne Ranere
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Sep 30th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962439554 NPPES
Virginia MEDICAID 1962439554

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