Individual
AMANDA J CORNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
306 STANAFORD RD, BECKLEY, WV 25801-3142
(304) 255-3000
Mailing address
205 HOMEWOOD DR, BECKLEY, WV 25801-0220
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
61167
WV
Other
Enumeration date
10/06/2009
Last updated
12/03/2012
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