Individual
ASHLEY EVONNE LIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3211 DUDLEY AVE, PARKERSBURG, WV 26104-1813
(304) 422-3904
Mailing address
601 AVERY ST STE 501, PARKERSBURG, WV 26101-5192
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
113971
WV
Other
Enumeration date
04/05/2022
Last updated
03/25/2025
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