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Individual

DARREN S WAMSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5227
(740) 441-8058
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5227
(740) 441-8058

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
49761
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.06862-NA
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000204022
OH MEDICAID UNISON
OH
01
001721150
MOUNTAIN STATE BCBS
01
2528812
MOLINA MEDICAID
OH
05
2528812
OH
05
2605029000
WV
01
P00132024
RR MEDICARE
OH
Enumeration date
06/14/2006
Last updated
09/11/2025
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