Provider Demographics
NPI:1326134164
Name:PARLETT, LINDA C (CRNA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:C
Last Name:PARLETT
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1009
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25324-1009
Mailing Address - Country:US
Mailing Address - Phone:304-346-9400
Mailing Address - Fax:304-720-8461
Practice Address - Street 1:FAIRMONT GENERAL HOSPITAL
Practice Address - Street 2:1325 LOCUST AVENUE
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554
Practice Address - Country:US
Practice Address - Phone:304-367-7267
Practice Address - Fax:304-367-7503
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV16603367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV20554238700OtherWORKERS COMP
WV001907661OtherMSBCBS AAP GROUP
WVDA0096OtherRR MEDICARE
WVP00336609OtherRR MEDICARE
WV001721189OtherBCBS
WV205542387OtherTRICARE
WV3810006746Medicaid
WVDF0767OtherRR MEDICARE
WV0066572000Medicaid
WV20554238700OtherWORKERS COMP
WV001907661OtherMSBCBS AAP GROUP
WVP00336609OtherRR MEDICARE
WVDF0767OtherRR MEDICARE