Individual
PAULETTE PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
94 OLD MILL RD, MARTINSBURG, WV 25401-9284
(304) 264-8933
(304) 264-8846
Mailing address
94 OLD MILL RD, MARTINSBURG, WV 25401-9284
(304) 264-8933
(304) 264-8846
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20766
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2604060000
—
WV
Enumeration date
03/28/2006
Last updated
02/19/2008
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