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Individual

MRS. BONNIE JEAN CARELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
501 MORRIS STREET, CHARLESTON, WV 25301
(304) 388-6220
(304) 388-3604
Mailing address
PO BOX 264, CHARLTON HEIGHTS, WV 25040

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
32710
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
43339
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0067144000
WV
Enumeration date
10/25/2006
Last updated
09/11/2025
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