Provider Demographics
NPI:1528056397
Name:ARENA, ANDREW C (CRNA)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:C
Last Name:ARENA
Suffix:
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:8700 STONY POINT PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-1968
Mailing Address - Country:US
Mailing Address - Phone:804-775-4500
Mailing Address - Fax:804-545-0758
Practice Address - Street 1:5801 BREMO RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1907
Practice Address - Country:US
Practice Address - Phone:804-288-6258
Practice Address - Fax:804-282-9921
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2024-04-26
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Provider Licenses
StateLicense IDTaxonomies
VA0024165090367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA8951471Medicaid
VA8951471Medicaid