Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidewater Anesthesia Inc

Organization Certified Registered Nurse Anesthetist · NPI 1063583722

Tidewater Anesthesia Inc is a Certified Registered Nurse Anesthetist in Virginia Beach, Virginia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 First Colonial Rd
Virginia Beach, VA 23454-2207
Phone: (888) 209-0305
Fax: (952) 442-3620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1063583722
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marsha Edwards — President · (757) 403-6728
NPI enumeratedNovember 13, 2006
Last updated in NPPESMay 20, 2020
Certification dateMay 20, 2020
Mailing address400 10th St E, Waconia, MN 55387-4552

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