Individual
PROF. LISA ANN ADAMS-VACHERESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 233-2455
(304) 233-6073
Mailing address
241 SENECA ST APT C, WEIRTON, WV 26062-2664
(304) 374-1277
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN327537L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101236182
—
PA
Enumeration date
02/02/2006
Last updated
04/03/2024
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