Deidra L Rickman-johnson CRNA

NPI 1033144100 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1033144100
Gender Female
Enumeration Date 07/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4701 MACCORKLE AVE
THE DAY SURGERY CENTER
CHARLESTON WV, 25304, US
Phone (304) 925-9300
Fax (304) 925-9287
Business Location
PO BOX 11686
NAPS INC
CHARLESTON WV, 25339, US
Phone (304) 346-7313
Fax (304) 744-9802
Toxanomy
Taxonomy Code 367500000X
License State West Virginia
License Number 29857
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According to our database, Deidra L Rickman-johnson CRNA NPI is 1033144100, taxonomy code is 367500000X and license number is 29857, license state is located at West Virginia. Deidra L Rickman-johnson CRNA physically located at 4701 Maccorkle Ave, Charleston WV, 25304. NPI Number Deidra L Rickman-johnson CRNA has the Individual type.

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1033144100 NPI number is provided on an as is basis without warranty of any kind. 1033144100 is maintained by the National Plan & Provider Enumeration System. The contents of Deidra L Rickman-johnson CRNA are for informational purposes only.