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Staci Boggess, CRNA

Nurse Anesthetist, Certified Registered in Huntington, WV. Individual provider (NPI-1).

NPI number1154771152
StatusActive
Last updated in NPPESSep 8, 2017

Details

NPI
1154771152
Entity type
Individual (NPI-1)
Name
Mrs. Staci Boggess
Credential
CRNA
Sex
Female
Sole proprietor
No
Enumeration date
Jun 21, 2016
Last updated
Sep 8, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified RegisteredAPRN80743WVYes

Practice location

1340 Hal Greer Blvd
Huntington, WV 25701-3800

Phone 304-561-4624

Mailing address

6 Aliff Ln
Saint Albans, WV 25177-3414

Phone 304-561-4624

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