Provider Demographics
NPI:1932188570
Name:ULSAS, STEVEN FREDERICK (CRNA)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:FREDERICK
Last Name:ULSAS
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 ROSLYN RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1625
Mailing Address - Country:US
Mailing Address - Phone:757-846-5871
Mailing Address - Fax:
Practice Address - Street 1:704 ROSLYN RD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1625
Practice Address - Country:US
Practice Address - Phone:757-841-5871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024107535367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered