Individual
MRS. PRISCILLA JOYCE WALKUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
3110 MACCORKLE AVE, S.E., ROOM 2042 ROBERT C. BYRD BLD, CHARLESTON, WV 25304-1833
(304) 388-9953
(304) 388-9955
Mailing address
1911 OAKRIDGE DR, CHARLESTON, WV 25311-1325
(304) 388-9953
(304) 388-9955
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
21258
WV
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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