Durant, Mildred C

Durant, Mildred C is an individual health care provider with primary practice located at 331 Laidley St Suite 606, Charleston WV 25301-1619. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Durant, Mildred C can be contacted via phone (304) 344-0096.

Contact Information

Primary practice address
331 Laidley St Suite 606 Charleston WV 25301-1619
Phone: (304) 344-0096
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 009308 West Virginia

Profile Details

NPI number 1225184104
LBN Legal business name Durant, Mildred C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225184104 NPPES
West Virginia MEDICAID 0067106000

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