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Individual

SARA A MORELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1200 J D ANDERSON DR, MONONGALIA GENERAL HOSPITAL, MORGANTOWN, WV 26505-3494
(304) 346-9400
(304) 345-7320
Mailing address
PO BOX 711841, MID ATLANTIC ANESTHESIA CONSULTANTS PLLC, COLUMBUS, OH 43271-0001
(304) 346-9400
(304) 234-5732

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
23625
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0207026000
WV
01
1056021
WORKERSCOMP-MAAC
WV
05
2603006000
WV
01
270052997004
TRICARE
WV
01
27005299701
WORKERS COMP GROUP
WV
01
DA0096
RR MEDICARE
WV
01
P00288019
RR MEDICARE
WV
Enumeration date
03/18/2006
Last updated
04/14/2008
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