Individual
ELIZABETH STAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5432
Mailing address
1618 GARRETTS BND, SOD, WV 25564-7506
(304) 928-7604
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
143299
WV
Other
Enumeration date
04/09/2022
Last updated
06/21/2023
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