Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. STACY LYN COMMODORE, CRNA
ActiveCertified Nurse Anesthetist (CRNA) · MORGANTOWN, WV
Registration Details
- NPI Number
- 1639409824
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2010 (16.292817438732 yrs)
- Last Updated
- Oct 21, 2025
- License
-
APRN62855 (WV)
Practice Information
- Address
-
2000 MON HEALTH MEDICAL PARK DR STE 2001MORGANTOWN, WV, 265051167Browse WV providers · Browse ZIP 26505
- Phone
- 3047208816
- Fax
- 9044946467
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in MORGANTOWN, WV
| Name | Credential | NPI |
|---|---|---|
| KIMBERLY DIANE MATTHEWS CHRISTOPHER | CRNA | 1083615876 |
| CAPRICE JOHNSON | CRNA | 1912908708 |
| JANET WALLECK | CRNA | 1902886187 |
| PROF. JEANNE MARIE GRIMES | CRNA | 1245203140 |
| DAVID R JOHNSON | CRNA | 1043284409 |
| RICHARD FRANKLIN MORTON | CRNA | 1679548242 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.