Individual
DANETTE LYNNE CROASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
111 LONE PINE DR, MASONTOWN, WV 26542-8605
(304) 376-6557
Mailing address
111 LONE PINE DR, MASONTOWN, WV 26542-8605
(304) 376-6557
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
61484
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2830735
—
OH
05
—
3810010505
—
WV
Enumeration date
11/06/2007
Last updated
07/18/2016
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