MRS. Stacy Lyn Commodore CRNA

  • NPI 1639409824
According to our database, the NPI number for MRS. Stacy Lyn Commodore CRNA is 1639409824 and activated since 14 years ago. MRS. Stacy Lyn Commodore CRNA is an individual provider who specializes in Nurse Anesthetist, Certified Registered, and the primary practice location is 2000 Mon Health Medical Park Dr Ste 2001, Morgantown, WV 26505. You can also contact MRS. Stacy Lyn Commodore CRNA via telephone number is (304) 720-8816. Provider NPI information was last updated on 12/29/2020.

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Overview of MRS. Stacy Lyn Commodore CRNA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 01/11/2010
  • Last updated: 12/29/2020

Primary Scrop of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: 62855
  • License State: WV

Provider Mailing Address

  • Address: Po Box 3466
    Charleston, WV 25334
  • Phone: 304-720-8816
  • Fax: 904-494-6467

Provider Practice Location

  • Address: 2000 Mon Health Medical Park Dr Ste 2001
    Morgantown, WV 26505
  • Phone: 304-720-8816
  • Fax: 904-494-6467

Scope of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: 62855
  • License State: WV
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 0207026000
  • Identifier Type: Other
  • Identifier State: WV
  • Issuer: MEDICAID GROUP

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MRS. Stacy Lyn Commodore CRNA?
  • A: The npi number for MRS. Stacy Lyn Commodore CRNA is 1639409824.
  • Q: What are MRS. Stacy Lyn Commodore CRNA's specialties?
  • A: MRS. Stacy Lyn Commodore CRNA's specialties are Nurse Anesthetist, Certified Registered and different specialities.
  • Q: What is the medical license for MRS. Stacy Lyn Commodore CRNA?
  • A: The medical license number for MRS. Stacy Lyn Commodore CRNA is 62855 and issued in WV in USA.
  • Q: Where is MRS. Stacy Lyn Commodore CRNA practice location?
  • A: MRS. Stacy Lyn Commodore CRNA is practicing at 2000 Mon Health Medical Park Dr Ste 2001, Morgantown, WV 26505.
  • Q: How to contact MRS. Stacy Lyn Commodore CRNA?
  • A: You can contact MRS. Stacy Lyn Commodore CRNA via 304-720-8816.