Provider Demographics
NPI:1558385237
Name:SPANGLER, LEANN D (CRNA)
Entity Type:Individual
Prefix:
First Name:LEANN
Middle Name:D
Last Name:SPANGLER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:LEANN
Other - Middle Name:D
Other - Last Name:DINGESS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:237 WOODS DR
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:WV
Mailing Address - Zip Code:25177-9769
Mailing Address - Country:US
Mailing Address - Phone:304-722-6277
Mailing Address - Fax:
Practice Address - Street 1:237 WOODS DR
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:WV
Practice Address - Zip Code:25177-9769
Practice Address - Country:US
Practice Address - Phone:304-722-6277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV45725367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered