IndividualActive
Adam Repass
NPI 1811638034 · Certified Registered Nurse Anesthetist · South Charleston, WV
Provider details
- NPI number
- 1811638034
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 95873 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
100 Angus E Peyton Dr
South Charleston, WV 25303-1600
Phone: (304) 746-2500
Approximate (ZIP-level) locationGet directions
Mailing address
330 Westwood Dr
Beckley, WV 25801-4250
Registry dates
- Enumerated
- 2022-04-03
- Last updated
- 2023-06-01
- Certified
- 2023-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.