| Diana Lynn Hackett, CRNA | |
|
2157 Green Valley Rd, Bridgeport, WV 26330 | |
| (304) 699-4103 | |
| Not Available |
| Full Name | Diana Lynn Hackett |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2157 Green Valley Rd, Bridgeport, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114078847 | NPI | - | NPPES |
| 0067524000 | Medicaid | WV | |
| 0207026000 | Other | WV | GROUP MEDICAID |
| 9333201 | Other | WV | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 39055 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Lynn Hackett, CRNA 2157 Green Valley Rd, Bridgeport, WV 26330-6983 Ph: (304) 699-4103 | Diana Lynn Hackett, CRNA 2157 Green Valley Rd, Bridgeport, WV 26330 Ph: (304) 699-4103 |
Sarah Jessica Harvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1370 Johnson Ave Ste 102, Bridgeport, WV 26330 Phone: 681-342-3453 Fax: 304-842-2333 | |
Jean C Coger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 327 Medical Park Dr, Anesthesia Dept, Bridgeport, WV 26330 Phone: 681-342-1610 Fax: 681-342-1626 | |
Mr. Kristopher Richard Jangrow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Drive, Bridgeport, WV 26330 Phone: 681-342-1000 | |
Glenn M Morales, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 304-624-2121 | |
Mr. Caleb David Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 | |
Christopher Hagedorn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 327 Medical Park Dr, Bridgeport, WV 26330 Phone: 681-342-1000 |