Individual
SUMMER MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 GARFIELD AVE, PARKERSBURG, WV 26101-5376
(304) 422-3904
(304) 422-3924
Mailing address
601 AVERY ST STE 501, PARKERSBURG, WV 26101-5192
(304) 588-8683
(304) 422-3924
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
85990
WV
Other
Enumeration date
04/21/2020
Last updated
04/20/2022
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