Individual
KATI MICHELINIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 STADIUM DR, MORGANTOWN, WV 26506-7911
(304) 598-4929
Mailing address
1370 JOHNSON AVE STE 102, BRIDGEPORT, WV 26330-1492
(681) 342-3459
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN71938-CRNA
WV
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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