Audette, Misty Dawn

Audette, Misty Dawn is an individual health care provider with primary practice located at 1906 Belleview Ave Se , Roanoke VA 24014-1838. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Audette, Misty Dawn can be contacted via phone (540) 853-0222.

Contact Information

Primary practice address
1906 Belleview Ave Se Roanoke VA 24014-1838
Phone: (540) 853-0222
Fax: (540) 981-7855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9246192 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN9246192 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 27809 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024179120 Virginia

Profile Details

NPI number 1043631245
LBN Legal business name Audette, Misty Dawn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2013
Last updated Dec 22nd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043631245 NPPES
Florida MEDICAID 010663000

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