Individual
MRS. STACI N ALBERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3800
(304) 399-2960
Mailing address
PO BOX 714960, COLUMBUS, OH 43271-4960
(888) 245-5525
(717) 653-8197
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
60257
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1075022
WV WORKERS COMP
WV
01
—
1588894034
MOUNTAIN STATE BLUE CROSS
WV
05
—
3810016256
—
WV
05
—
7100083910
—
KY
Enumeration date
07/17/2009
Last updated
09/06/2016
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