Individual
CHRISTINA SCRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3200 MACCORKIE AVENUE SE, CHARLESTON, WV 25304
(304) 388-4077
(304) 388-9852
Mailing address
172 PEACHARBOR LANE, SISSONVILLE, WV 25320
(304) 984-1169
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
58904
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
71758
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810002244
—
WV
01
—
P00219164
RR MEDICARE
WV
Enumeration date
10/24/2006
Last updated
09/11/2025
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