Provider Demographics
NPI:1548415441
Name:ASBURY, CYNTHIA LORENE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:LORENE
Last Name:ASBURY
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 1:2323 23RD ST
Mailing Address - Street 2:
Mailing Address - City:NITRO
Mailing Address - State:WV
Mailing Address - Zip Code:25143-1743
Mailing Address - Country:US
Mailing Address - Phone:304-755-3226
Mailing Address - Fax:
Practice Address - Street 1:2323 23RD ST
Practice Address - Street 2:
Practice Address - City:NITRO
Practice Address - State:WV
Practice Address - Zip Code:25143-1743
Practice Address - Country:US
Practice Address - Phone:304-755-3226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV36451367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered