IndividualActive
John Peterson, C.R.N.A.
NPI 1487689139 · Medical-Surgical Registered Nurse · Kingwood, WV
Provider details
- NPI number
- 1487689139
- Entity type
- Individual
- Primary specialty
- Medical-Surgical Registered NurseNursing Service Providers
- Credential
- C.R.N.A.
- Sex
- Male
- Sole proprietor
- No
- License
- 41232 (WV)
Specialties & taxonomies
Nursing Service Providers
Practice location
150 Memorial Dr
Kingwood, WV 26537-1141
Phone: (304) 329-1400
Fax: (304) 329-1175
Approximate (ZIP-level) locationGet directions
Mailing address
150 Memorial Dr
Kingwood, WV 26537-1141
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2017-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.