Individual
MISS CHRISTI ANN WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CRNA
Contact information
Practice address
3200 MACCORKLE AVENUE, CHARLESTON, WV 25304
(304) 388-4077
(304) 388-9852
Mailing address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 768-7401
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN41909-CRNA
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068695000
—
WV
01
—
430069479
E MEDICARE
WV
Enumeration date
10/24/2006
Last updated
05/03/2017
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