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Individual

MRS. VICKI TAYLOR HANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN26613-CRNA
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0067760000
WV
01
HA7196181
MEDICARE CAMC
WV
Enumeration date
09/21/2006
Last updated
05/03/2017
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