Organization
ST LUKE'S PRINCETON LLC
Active
Other names
ST LUKE'S PRICETON LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY D ALDRIDGE CRNA (CRNA)
(304) 327-2900
Entity
Organization
Contact information
Practice address
1333 SOUTHVIEW DR, BLUEFIELD, WV 24701-4317
(304) 327-2900
(304) 327-2989
Mailing address
1333 SOUTHVIEW DR, BLUEFIELD, WV 24701-4317
(304) 327-2900
(304) 327-2989
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068965000
—
WV
Enumeration date
10/20/2006
Last updated
08/22/2020
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