Bonaventure J Porco in Wheeling - Nurse Anesthetist, Certified Registered

Bonaventure J Porco - NPI 1093747164

Bonaventure J Porco is a Nurse Anesthetist, Certified Registered in Wheeling, . Bonaventure J Porco practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Bonaventure J Porco is 1093747164. The last update date is 2007-12-05.

Bonaventure J Porco's current location address is 1 Medical Park, Wheeling, . You can contact this provider via phone number 3042433343. The mailing address for Bonaventure J Porco is 1 Medical Park, Wheeling, . To know further, please read the information below!

Provider Profile Detail

Provider Name Bonaventure J Porco
Address 1 Medical Park, Wheeling,
Phone Number 3042433343
Fax Number
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1093747164
Provider Enumeration Date 2006-07-07
Last Updated Date 2007-12-05

Provider Mailing Address Detail

Address 1 Medical Park
City Wheeling
State (WV)
Post Code 260036379
Phone Number 3042433343
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 27755
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
207026000 WV --
65960000 WV --

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FAQs about Bonaventure J Porco

What is the Bonaventure J Porco's unique identification number?

The Bonaventure J Porco has been assigned the NPI (National Provider Identifier) Number 1093747164 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Bonaventure J Porco?

The Bonaventure J Porco is physically situated at 1 Medical Park, in the city of Wheeling, state of WV, with the postal code 260036379.

What is Bonaventure J Porco's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Bonaventure J Porco is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy classification code for this specialized field is 367500000X.

When was the Bonaventure J Porco's 1093747164 issued?

The Bonaventure J Porco's 1093747164 was issued on 2006-07-07.

When was the information related to Bonaventure J Porco most recently updated or refreshed?

The details pertaining to the Bonaventure J Porco, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-12-05.

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