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Individual

PATRICIA K MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 598-1200
Mailing address
PO BOX 711841, MID- ATLANTIC ANESTHESIA CONSULTANTS, COLUMBUS, OH 43271-0001
(304) 346-9400
(304) 345-7320

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
17632
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001706470
MSBCBS GROUP
WV
01
001720738
MOUNTAIN STATE BCBS
WV
05
0065481000
WV
05
0207026000
WV
01
1005755
BRICKSTREET INDIVIDUAL
WV
01
27005299700
WORKERS COMP
WV
01
270052997004
TRICARE
WV
01
27005299701
BRICKSTREET
WV
01
DA0096
RR MEDICARE
WV
01
P00142893
RR MEDICARE
WV
01
WORKERS COMP
27005299700
WV
Enumeration date
06/08/2006
Last updated
05/16/2008
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