Ashley Evonne Lively, | |
800 Garfield Ave, Parkersburg, WV 26101-5376 | |
(304) 424-2590 | |
Not Available |
Full Name | Ashley Evonne Lively |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 800 Garfield Ave, Parkersburg, 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 |
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1841931797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 113971 (West Virginia) | Primary |
Entity Name | United Anesthesia, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477512408 PECOS PAC ID: 6406830256 Enrollment ID: O20040617000953 |
Mailing Address | Practice Location Address |
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Ashley Evonne Lively, 601 Avery St Ste 501, Parkersburg, WV 26101-5192 Ph: () - | Ashley Evonne Lively, 800 Garfield Ave, Parkersburg, WV 26101-5376 Ph: (304) 424-2590 |
Jennifer Brunoni, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3211 Dudley Ave, Parkersburg, WV 26104 Phone: 304-422-3904 Fax: 304-422-3924 | |
Judy A Cox, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 Garfield Ave, Parkersburg, WV 26101 Phone: 304-424-2590 Fax: 304-422-3924 | |
Julie A Pettit, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Garfield Ave, Parkersburg, WV 26101 Phone: 304-424-2590 Fax: 304-422-3924 | |
Kristina L Sullivan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Garfield Ave, Parkersburg, WV 26101 Phone: 304-424-2590 Fax: 304-422-3924 | |
Shannon R Eddy, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 Garfield Ave, Parkersburg, WV 26101 Phone: 304-424-2590 Fax: 304-422-3924 | |
Daniel N Woodyard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Garfield Ave, Parkersburg, WV 26101 Phone: 304-424-2590 Fax: 304-422-3924 | |
Summer Meadows, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Garfield Ave, Parkersburg, WV 26101 Phone: 304-422-3904 Fax: 304-422-3924 |