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Individual

MARY LEE DASHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
812 GORMAN AVENUE, ELKINS, WV 26241
(304) 636-3300
(304) 637-3435
Mailing address
PO BOX 6230, WHEELING, WV 26003-0722
(304) 242-7106
(304) 242-7108

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
47425
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN47425
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00422757
RAILROAD MEDICARE
WV
Enumeration date
11/30/2006
Last updated
02/21/2023
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