STEPHANIE M SPENCER

CHARLESTON, WV
NPI1366556581
Former NameSTEPHANIE M CASTO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  APRN60156-CRNA)
Enumeration Date2006-08-17
Last Update Date2018-12-28
Business Address
STEPHANIE M SPENCER CRNA
333 LAIDLEY ST
CHARLESTON, WV 25301-1614
Phone number: 304-344-0096
Mailing Address
STEPHANIE M SPENCER CRNA
PO BOX 1547 CAMC PROVIDER ENROLLMENT
CHARLESTON, WV 25326-1547
Phone number: 304-388-1724