Individual
SARA A MORELAND
Active
Individual
SARA A MORELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
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
Update your record
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