Individual
ELSA F WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
17998
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
68590
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001706470
MSBCBS GROUP
WV
01
—
001985246
MSBCBS
WV
05
—
0207026000
—
WV
01
—
1070292
BRICKSTREET
WV
01
—
270052997
TRI-CARE
WV
01
—
270052997004
TRICARE
WV
01
—
27005299701
BRICKSTREET GROUP
WV
05
—
3810006437
—
WV
01
—
DA0096
RR MEDICARE
WV
01
—
P00453017
RR MEDICARE
WV
Enumeration date
10/26/2006
Last updated
05/19/2008
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