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Individual

JOEL NETHANIEL DAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95540
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
119263
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
143188
CRNA CERTIFICATE
01
95540
RN
WV
Enumeration date
11/18/2022
Last updated
05/03/2024
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