EDDIE JOHNSON JR., CRNA

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1548369929

Practice Address

3200 MACCORKLE AVE SE
Charleston, WV 25304

Phone: (304) 388-4077

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No 54873 (WV)
Nurse Anesthetist, Certified Registered 367500000X Yes 290824 (NC)

Frequently Asked Questions

NPI 1548369929 is the National Provider Identifier for EDDIE JOHNSON JR., CRNA, a Nurse Anesthetist, Certified Registered provider located in Charleston, WV. This NPI was enumerated on September 21, 2006.
EDDIE JOHNSON JR., CRNA practices at 3200 MACCORKLE AVE SE, Charleston, WV 25304.

Quick Facts

NPI
1548369929
Type
Individual
Enumerated
Sep 21, 2006
Last Updated
Mar 17, 2021

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