Individual
AMANDA RENEE LAREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, APRN
Contact information
Practice address
2 FRENCH QUARTERS DR, MORGANTOWN, WV 26505-2284
(304) 376-7635
Mailing address
2 FRENCH QUARTERS DR, MORGANTOWN, WV 26505-2284
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
086554
WV
367500000X
Certified Registered Nurse Anesthetist
67755
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN67755-CRNA
WV
Other
Enumeration date
01/13/2011
Last updated
08/13/2019
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