Individual
ADAM WAYNE REPASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 ANGUS E PEYTON DR, SOUTH CHARLESTON, WV 25303-1600
(304) 746-2500
Mailing address
330 WESTWOOD DR, BECKLEY, WV 25801-4250
(304) 923-3449
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95873
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
116718
WV
Other
Enumeration date
04/03/2022
Last updated
06/01/2023
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