Individual
CAPRICE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
21 LAFOLLETTE DR, MORGANTOWN, WV 26508-8005
(724) 430-5803
Mailing address
21 LAFOLLETTE DR, MORGANTOWN, WV 26508-8005
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
40419
WV
367500000X
Certified Registered Nurse Anesthetist
RN305298L
PA
Other
Enumeration date
08/03/2005
Last updated
10/03/2013
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