Individual
MS. JAN BYRNSIDE FRAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
21 THOROUGHBRED RD, SCOTT DEPOT, WV 25560
(304) 757-5659
Mailing address
PO BOX 445, SCOTT DEPOT, WV 25560
(304) 757-5659
(304) 757-5659
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
162809
NC
163W00000X
Registered Nurse
29279
WV
363L00000X
Nurse Practitioner
162809
NC
363L00000X
Nurse Practitioner
3363082
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
36282
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0064948000
—
WV
01
—
FR7302321
CAMC MEDICARE
WV
Enumeration date
10/16/2006
Last updated
07/31/2019
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