Mark Mizuba is a Salem, Virginia based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Mark Mizuba is 0024166707 for Anesthesia Administration in Virginia. his current practice location is 1970 Roanoke Blvd, Salem. Patients can reach him at 540-982-2463 or can fax him at 540-983-1090. Mark Mizuba is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1164439899.
Mark Mizuba is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mark Mizuba speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Anesthesia Administration |
| Credentials: | CRNA |
| Gender: | Male |
| Practice Address: | 1970 Roanoke Blvd, Salem,
Virginia, 24153-6404 |
| Phone: | 540-982-2463 |
| Fax: | 540-983-1090 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1164439899 |
| NPI Enumeration Date: | 02 Aug, 2006 |
| NPI Last Update On: | 28 Apr, 2014 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Mizuba are as mentioned below.
| License Number | Specialization | State | Status | |
| 0024166707 | Anesthesia Administration | Virginia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark Mizuba such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 010218608 | Medicaid | Virginia | |
| 010218641 | Medicaid | Virginia | |
| 010218632 | Medicaid | Virginia | |
| 010218705 | Medicaid | Virginia | |
| 010218748 | Medicaid | Virginia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1970 Roanoke Blvd,
Salem, Virginia |
| Zip: | 24153-6404 |
| Phone Number: | 540-982-2463 |
| Fax Number: | 540-983-1090 |
Patients can reach Mark Mizuba at
1970 Roanoke Blvd, Salem, Virginia or can
call to book an appointment on 540-982-2463.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.