Individual
BEVERLY JEAN MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(706) 650-0705
Mailing address
PO BOX 414, DELLSLOW, WV 26531-0414
(304) 290-9424
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26866
WV
Other
Enumeration date
06/09/2006
Last updated
11/14/2018
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