| Ashley Evonne Lively, | |
|
3211 Dudley Ave, Parkersburg, WV 26104-1813 | |
| (304) 422-3904 | |
| Not Available |
| Full Name | Ashley Evonne Lively |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3211 Dudley 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 |
|---|---|---|---|
| 1841931797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 113971 (West Virginia) | Primary |
| Entity Name | United Anesthesia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477512408 PECOS PAC ID: 6406830256 Enrollment ID: O20040617000953 |
| Entity Name | Camden-clark Physician Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Evonne Lively, 601 Avery St Ste 501, Parkersburg, WV 26101-5192 Ph: () - | Ashley Evonne Lively, 3211 Dudley Ave, Parkersburg, WV 26104-1813 Ph: (304) 422-3904 |
Jennifer Butler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Garfield Ave, Parkersburg, WV 26101 Phone: 304-424-2111 | |
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: Not Enrolled in Medicare 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 | |
Jessica Oldaker, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Garfield Ave, Parkersburg, WV 26101 Phone: 304-422-3904 |