Individual
ABIGAIL WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5432
Mailing address
2922 WASHINGTON BLVD, HUNTINGTON, WV 25705-1631
(304) 972-3706
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
132344
WV
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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