MRS. STACY COMMODORE, CRNA
Nurse Anesthetist, Certified Registered
Active
Individual
NPI: 1639409824
Practice Address
2000 MON HEALTH MEDICAL PARK DR STE 2001Morgantown, WV 26505
Phone: (304) 720-8816
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered | 367500000X | Yes | APRN62855 (WV) |
Frequently Asked Questions
NPI 1639409824 is the National Provider Identifier for MRS. STACY COMMODORE, CRNA, a Nurse Anesthetist, Certified Registered provider located in Morgantown, WV. This NPI was enumerated on January 11, 2010.
MRS. STACY COMMODORE, CRNA practices at 2000 MON HEALTH MEDICAL PARK DR STE 2001, Morgantown, WV 26505.
Quick Facts
- NPI
- 1639409824
- Type
- Individual
- Enumerated
- Jan 11, 2010
- Last Updated
- Oct 21, 2025
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