Individual
MRS. BONNIE MARIE LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CRNA
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-6220
(304) 388-3604
Mailing address
PO BOX 1547, CHARLESTON, WV 25326-1547
(304) 388-1724
(304) 388-1721
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN56320
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001439
—
WV
Enumeration date
10/27/2006
Last updated
06/27/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us