IndividualActive
Bonnie Lively, APRN-CRNA
NPI 1184700841 · Certified Registered Nurse Anesthetist · Charleston, WV
Provider details
- NPI number
- 1184700841
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN-CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- APRN56320 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
501 Morris St
Charleston, WV 25301-1326
Phone: (304) 388-6220
Fax: (304) 388-3604
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1547
Charleston, WV 25326-1547
Additional practice locations (2)
- 3200 Maccorkle Ave SeCharleston, WV 25304-1227Phone: (304) 388-5503
- 1201 Washington St ECharleston, WV 25301-1834Phone: (304) 388-1800Fax: (304) 388-1825
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2019-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.