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Contact Information

LISA A ADAMS VACHERESSE, CRNA
601 COLLIERS WAY
WEIRTON, WV26062-5014
 Phone: 304-233-2455
 Fax: 304-233-6073
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for LISA A ADAMS VACHERESSE · (Female)

NPI # 1770555914
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 02/02/2006
Last updated 04/03/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • PA License # RN327537L
  • PA Medicaid 101236182
Hospital affiliation(s)
  • WEIRTON MEDICAL CENTER - (Acute Care)
    601 COLLIERS WAY
    WEIRTON, WV 26062
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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