Individual
BROOKE DAVIS STAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMPNA, APRN-CRNA
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 526-1234
Mailing address
6900 MERRICK CREEK RD, HUNTINGTON, WV 25702-9754
(304) 541-6851
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
88938
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
103757
WV
Other
Enumeration date
02/12/2019
Last updated
08/16/2021
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