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

Individual provider Certified Registered Nurse Anesthetist · NPI 1376297846

Isaac Widdicombe is a Certified Registered Nurse Anesthetist in Salem, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2022
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Practice location Address checks out

1970 Roanoke Blvd
Salem, VA 24153-6404
Phone: (540) 982-2463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 0024183589 (VA)

Record details

NPI number1376297846
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 3, 2022
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022
Mailing address6402 Ridgeview Dr, Roanoke, VA 24019-2338

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