Individual
CRAIG A. O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 647-6006
Mailing address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 647-6006
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
048342
WV
367500000X
Certified Registered Nurse Anesthetist
48610
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN48610
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0300069000
—
WV
Enumeration date
07/19/2006
Last updated
08/09/2023
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