Individual
LOUISE NAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARSTON, WV 25304
(304) 388-4077
(304) 388-9852
Mailing address
3598 CREDE DR, CHARLESTON, WV 25302
(304) 343-1783
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
16052
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
15710
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065725000
—
WV
Enumeration date
11/20/2006
Last updated
11/07/2007
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