Individual provider · Type 1 NPI

Ethan Aron Moles, DMPNA, CRNA

Certified Registered Nurse Anesthetist · South Charleston, WV

NPI number 1578200580 Active

Practice location

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311

Mailing address

1892 Patterson Dr
Elkview, WV 25071-7131

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X85894 (WV)
Certified Registered Nurse Anesthetist Primary 367500000X112703 (WV)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1578200580

Ethan Aron Moles, DMPNA, CRNA's National Provider Identifier is 1578200580, issued on May 19, 2022. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in South Charleston, WV. The record was last updated on May 19, 2022.