Individual provider · NPI-1

Tanya C Ammons, CRNA

Nurse Anesthetist, Certified Registered · Morgantown, WV

NPI number1003923558
StatusActive
Last updated in NPPESJun 5, 2014

Details

NPI
1003923558
Entity type
Individual (NPI-1)
Name
Tanya C Ammons
Credential
CRNA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 23, 2006
Last updated
Jun 5, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered58304WVYes

Practice location

1 Stadium Drive
Morgantown, WV 26506

Phone 304-598-4800 · Fax 304-285-7126

Mailing address

P. O. Box 897
Morgantown, WV 26507-0897

Phone 304-285-7100 · Fax 304-285-7126

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