IndividualActive
Alex Goode
NPI 1790433241 · Certified Registered Nurse Anesthetist · Charleston, WV
Provider details
- NPI number
- 1790433241
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 041.522332 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
501 Morris St
Charleston, WV 25301-1326
Phone: (304) 388-5432
Approximate (ZIP-level) locationGet directions
Mailing address
501 Morris St
Charleston, WV 25301-1326
Registry dates
- Enumerated
- 2022-03-14
- Last updated
- 2024-06-27
- Certified
- 2024-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.