Individual
MEGAN DELLA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
333 LAIDLEY ST, CHARLESTON, WV 25301-1614
(304) 344-0096
(304) 342-4725
Mailing address
110 ROANE ST, CHARLESTON, WV 25302-2334
(304) 344-0096
(304) 342-4725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
077812
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010883
—
WV
01
—
P00462925
RAILROAD MEDICARE
WV
Enumeration date
12/27/2007
Last updated
02/17/2009
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