Ms Marty Diane Henley, CRNA | |
501 Morris St, Dept. Of Anesthesia, Charleston, WV 25301-1326 | |
(304) 388-6261 | |
Not Available |
Full Name | Ms Marty Diane Henley |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 501 Morris St, Charleston, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164508958 | NPI | - | NPPES |
430008501 | Medicaid | WV | |
0065052000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | APRN26101 (West Virginia) | Primary |
Entity Name | Charleston Area Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
Mailing Address | Practice Location Address |
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Ms Marty Diane Henley, CRNA 501 Morris St, Dept. Of Anesthesia, Charleston, WV 25301-1326 Ph: (304) 388-6261 | Ms Marty Diane Henley, CRNA 501 Morris St, Dept. Of Anesthesia, Charleston, WV 25301-1326 Ph: (304) 388-6261 |
Sandra R Miles, CRNA, RN, BSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 Morris St, Charleston, WV 25301 Phone: 304-388-5432 | |
Mrs. Hope Halstead Webb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302 Phone: 304-388-2470 | |
Victoria J Kitts, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3200 Mccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-9556 Fax: 304-388-9582 | |
Meg Adair Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave S. E., Charleston, WV 25304 Phone: 304-388-9556 | |
Tiffany D. Dutton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Dept. Of Surgery, Charleston, WV 25304 Phone: 304-388-5503 Fax: 304-388-9852 | |
Jennifer D Valdez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5432 | |
Christopher S Mullins, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-688-0228 |