Individual
MATTHEW PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 636-3300
(304) 637-3435
Mailing address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 636-3300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
331469
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
64303
WV
367500000X
Certified Registered Nurse Anesthetist
APRN9492405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331469
LICNESE
OH
05
—
3910000863
—
WV
Enumeration date
12/07/2009
Last updated
09/18/2022
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