Healthcare Provider Details

I. General information

NPI: 1205452372
Provider Name (Legal Business Name): RHIANNA FERIAL SCHOELLER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RHIANNA FERIAL RASLAN

II. Dates (important events)

Enumeration Date: 06/24/2020
Last Update Date: 06/24/2020
Certification Date: 06/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 MORRIS ST
CHARLESTON WV
25301-1326
US

IV. Provider business mailing address

501 MORRIS ST
CHARLESTON WV
25301-1326
US

V. Phone/Fax

Practice location:
  • Phone: 304-388-7180
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number106359
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: