Individual
MR. MATTHEW ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 312-5586
Mailing address
50 HIDDEN VIEW LN, MOUNDSVILLE, WV 26041-1378
(304) 312-5586
Taxonomy
Speciality
Code
Description
License number
State
163WF0300X
Flight Registered Nurse
78163
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
124997
WV
Other
Enumeration date
12/06/2018
Last updated
12/27/2019
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