Individual
BRENDA K MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
230 HOSPITAL PLZ, WESTON, WV 26452-8558
(304) 269-8090
(304) 269-8090
Mailing address
PO BOX 189, HORNER, WV 26372-0189
(304) 269-0878
(304) 269-8090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22816
WV
367500000X
Certified Registered Nurse Anesthetist
RN0000076353
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3605228
—
TN
Enumeration date
08/17/2005
Last updated
09/11/2025
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