IndividualActive
Blake Stevenson, CRNA
NPI 1902093115 · Certified Registered Nurse Anesthetist · Bridgeport, WV
Provider details
- NPI number
- 1902093115
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 71616 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone: (681) 342-1000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 6209
Wheeling, WV 26003-0714
Registry dates
- Enumerated
- 2007-10-02
- Last updated
- 2011-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.