Individual
HAYLIE MACIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 543-9595
Mailing address
1022 VILLAGE DR, SOUTH CHARLESTON, WV 25309-1904
(304) 543-9595
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
116152
WV
Other
Enumeration date
03/31/2022
Last updated
06/21/2023
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