Individual
MORGAN ROARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1710 HARPER RD, BECKLEY, WV 25801-3397
(304) 256-4100
Mailing address
55 ABIGAIL LN, FAYETTEVILLE, WV 25840-5362
(304) 731-5206
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
119371
WV
390200000X
Student in an Organized Health Care Education/Training Program
92107
WV
Other
Enumeration date
06/10/2022
Last updated
06/25/2024
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